| NPI | 1346587763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAWNA M WEERTS Therapist 314-780-7532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO 2012002433) |
| Enumeration Date | 2013-01-04 |
| Last Update Date | 2013-01-04 |