| NPI | 1952800427 |
|---|---|
| Other Name | THE TAPPAN 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 | 251B00000X Case Management |
| 251S00000X | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 3336M0003X Pharmacy, Managed Care Organization Pharmacy | |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2020-04-17 |