| NPI | 1023470747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE NONE BENDER Office Manager 636-931-4206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: 00176) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |