| NPI | 1306396999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA J GROSS Executive Director 314-649-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO 2015011548) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2021-07-06 |