| NPI | 1457475147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICKLAUS T HAYES Hr Director 314-531-1770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |