| NPI | 1376082529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY ANN GILMORE Minister/ Director 314-371-9999 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 261QA0600X Clinic/Center Adult Day Care (Licence: MO 1342) |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-02-21 |