| NPI | 1841446804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICH SWINGER Treatment Director 314-434-4535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2008-08-11 |