| NPI | 1376284950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY GLENN Chief Clinical Officer 314-806-1026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2022-04-13 |