| NPI | 1255788667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM STELZER Business Office 636-939-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-05-16 |