| NPI | 1164891966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM MCCALLUM President 314-968-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2015-09-22 |