| NPI | 1366076721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY JAND PIERCE Co Owner 314-498-0372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2020-02-25 |