| NPI | 1922358423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATON SMITH Manager 314-932-1360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MO 040363) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2012-09-12 |