Organization · Type 2 NPI

Community Residential Supportive Living

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · St. Louis, MO

NPI number 1295907921 Active

Practice location

1026 Villa St.cyr
St. Louis, MO 63137

Call (314) 869-1977 Map

Fax (314) 869-1977

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1295907921

Community Residential Supportive Living's National Provider Identifier is 1295907921, issued on Apr 2, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in St. Louis, MO. The record was last updated on Apr 2, 2008.