NPI | 1417181983 |
---|---|
Entity Type | Organization |
Authorized Contact | TONIA T. GREEN Executive Officer 314-606-8908 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO 2000165951) |
Enumeration Date | 2009-05-12 |
Last Update Date | 2009-05-12 |