| NPI | 1457618688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT MCKINNEY President 314-569-2253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2020-02-26 |