NPI | 1033476676 |
---|---|
Entity Type | Organization |
Authorized Contact | MARVIN STEVEN MILLER Owner 314-382-9318 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO 2008008117) |
Enumeration Date | 2012-04-20 |
Last Update Date | 2012-04-20 |