| NPI | 1023534914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE ELIZABETH FARLEY Co Owner 314-497-9657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MO 118786) |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2022-07-21 |