| NPI | 1255089587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRINA DAVIS Executive Director 314-323-7116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2022-03-15 |