| NPI | 1417407198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIANNE JOHNSON Executive Director 314-443-4069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO 2016025422) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-10-06 |