| NPI | 1033541347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE COX Clinical Director 314-874-7410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO 2012019389) |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2015-07-22 |