| NPI | 1861782898 |
|---|---|
| Doing Business As | GLORIA PATRICK |
| Entity Type | Organization |
| Authorized Contact | GLORIA JEAN PATRICK Home Aid 314-401-1466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: MO 07397218) |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MO 07397218) |
| 320700000X Residential Treatment Facility, Physical Disabilities (Licence: MO 07397218) | |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2011-04-11 |