| 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 |