| NPI | 1457060352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAVITA AJMERE CEO 314-750-3699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-11-18 |
| Last Update Date | 2024-12-27 |