NPI | 1376211359 |
---|---|
Entity Type | Organization |
Authorized Contact | NATASHA DOHERTY President, CEO 314-474-8804 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2021-09-02 |
Last Update Date | 2023-07-05 |