| NPI | 1144591819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERA COYLE Clinical Director 314-600-5183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO 2007014301) |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2012-01-25 |