| NPI | 1073637377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY FRANCES BRODERICK Executive Director 314-535-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2022-03-11 |