| NPI | 1295157964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NED PRESNALL Executive Director 314-222-5896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2014-01-14 |