NPI: 1083934889 · BRENTWOOD, MO 63144 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 06/03/2010
| Authorized Official | KILCOYNE, PAULA (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 06/03/2010 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 715 | $197K |