| NPI | 1821408501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ANNE GILBERTSEN Owner And Senior Behavior Analyst 314-369-4235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MO 2010043035) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MO 2010043035) |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2014-08-18 |