| NPI | 1073975280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | :LAURA M LEWIS Licensed Clinical Social Worker 314-690-3154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO 2015033641) |
| Enumeration Date | 2016-03-26 |
| Last Update Date | 2016-03-26 |