| 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 |