| NPI | 1841318193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD TREVOR CROSS President 314-367-3743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: MO 032341) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-11-04 |