| NPI | 1225740293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIGH ANN RENE HERZ Associate Director Of Q&C 636-236-5887 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-12-21 |
| Last Update Date | 2024-02-09 |