| NPI | 1417531187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY GLENN Chief Clinical Officer 314-392-3822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2021-05-10 |