NPI | 1104450337 |
---|---|
Entity Type | Organization |
Authorized Contact | STACY L. GLENN Chief Clinical Officer 314-392-3822 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 251S00000X |
261QM0850X Clinic/Center, Adult Mental Health | |
Enumeration Date | 2020-02-26 |
Last Update Date | 2022-04-05 |