| NPI | 1871625582 |
|---|---|
| Former Legal Business Name | JUDEVINE CENTER FOR AUTISM |
| Entity Type | Organization |
| Authorized Contact | JOHN W. ADKINS Vice President, CFO 314-394-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 224Z00000X Occupational Therapy Assistant (Licence: MO 2010005293) | |
| 235Z00000X Speech-Language Pathologist, (Licence: MO 118073) | |
| 101Y00000X Counselor (Licence: MO 2205030351) | |
| 225X00000X Occupational Therapist (Licence: MO 2001015378) | |
| 103K00000X Behavior Analyst | |
| 104100000X Social Worker (Licence: MO 1999140934) | |
| 104100000X Social Worker (Licence: MO 001967) | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2015-02-03 |