| NPI | 1467583336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK STANSBERRY Executive Director 314-206-3714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MO 267-7258) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2024-04-01 |