| NPI | 1922507516 |
|---|---|
| Other Name | THE GOODFELLOW HOUSE |
| Entity Type | Organization |
| Authorized Contact | MARVIN SHELTON CEO 314-580-3029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Additional Taxonomies | 101Y00000X Counselor |
| 251B00000X Case Management | |
| 253Z00000X In Home Supportive Care | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 310400000X Assisted Living Facility | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 3336M0003X Pharmacy, Managed Care Organization Pharmacy | |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2020-04-17 |