| NPI | 1346555729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE P HERZBERG Therapist 314-968-2060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: MO 000266) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: MO 000266) |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2010-08-10 |