| NPI | 1245678333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN B BULIN Executive Director 314-533-4114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO 2002032346) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2013-06-11 |