| NPI | 1396257408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE A PETEFISH Owner/Behavior Analyst 314-297-0793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO 2015044940) |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2019-03-13 |