NPI | 1922335926 |
---|---|
Entity Type | Organization |
Authorized Contact | NICOLE BROCK-WILLIAMS Owner 314-395-6121 |
Organization Subpart ? | No |
Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
Enumeration Date | 2009-11-11 |
Last Update Date | 2009-11-11 |