| NPI | 1326926296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIVER DOWDY Clinical Director 314-328-5678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2025-08-26 |
| Last Update Date | 2025-08-26 |