| NPI | 1043491020 |
|---|---|
| Doing Business As | PROVIDENT BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | KATHY S SCHLEMMER Relations Coordinator 314-802-2647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2022-10-05 |