| NPI | 1831940931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERY EBOB AWUH Owner 636-206-0455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251E00000X Home Health |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2024-03-28 |