| NPI | 1275105454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY GRAVES Executive Director 314-596-2760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251E00000X Home Health | |
| 251S00000X | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM1000X Clinic/Center, Migrant Health | |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2021-07-15 |