| NPI | 1831388446 |
|---|---|
| Doing Business As | COUNTRY HAVEN ASISSTED LIVING |
| Entity Type | Organization |
| Authorized Contact | ALI CHAUDHRY Managing Member 314-630-2414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MO 035466) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MO 035469) |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2008-05-14 |