| NPI | 1326881087 |
|---|---|
| Former Legal Business Name | CHILDREN'S THERAPEUTIC CENTRE, LLC |
| Entity Type | Organization |
| Authorized Contact | TAJUANA JONES Owner 314-643-6621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2024-06-18 |