| NPI | 1346630803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCO SICURO Owner 314-222-0602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MO LC001426559) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MO LC001426559) |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2019-04-08 |