| NPI | 1295862977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR BARINGOLTS President 314-872-8844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO 8001344) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2009-03-20 |