NPI | 1356795090 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELA MARTIN-DAVIS President 314-206-3712 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MO 267-7258) |
Enumeration Date | 2016-04-19 |
Last Update Date | 2023-11-13 |