| NPI | 1467915645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NED PRESNALL Owner 314-467-8393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2019-04-13 |
| Last Update Date | 2022-07-01 |