| NPI | 1144935974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARE L SCHILLY Director, Staff Services 314-221-0821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2023-01-17 |
| Last Update Date | 2023-03-30 |