| NPI | 1386184927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYMPUS Owner 314-614-6515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO 2008029739) |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |