| NPI | 1467282285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELICA MONIQUE WINSTON Director 314-413-4891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2024-08-06 |
| Last Update Date | 2024-09-27 |