| NPI | 1487146460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER WILHELM Director Of Client Finance 636-779-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2023-10-10 |