| NPI | 1497326466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA SISSOM Executive Director 314-776-9406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2021-07-09 |
| Last Update Date | 2021-07-09 |