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 |