| NPI | 1396491767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER VOSS Owner 314-304-4119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2022-02-24 |