| NPI | 1326461757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD MANGRUM CEO 314-295-9862 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP1600X Counselor, Pastoral | |
| 101YP2500X Counselor, Professional | |
| 103T00000X Psychologist | |
| 251B00000X Case Management | |
| 252Y00000X Early Intervention Provider Agency | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2017-03-17 |