NPI | 1235586561 |
---|---|
Entity Type | Organization |
Authorized Contact | YULONDA SINGLETON-CARTER Executive Assistant 314-621-9009 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MO 8043) |
Enumeration Date | 2016-05-17 |
Last Update Date | 2016-05-17 |