| NPI | 1437527314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE RAUNER Owner 314-266-9516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MO 2014041441) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |