| NPI | 1245710250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEKEYA JAMA Owner 314-626-3308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2017041636) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MO 2017041636) |
| Enumeration Date | 2018-08-19 |
| Last Update Date | 2018-08-22 |