| NPI | 1497646814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD J. DESTEFANE President 314-543-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101Y00000X Counselor |
| 225C00000X Rehabilitation Counselor | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2025-07-14 |
| Last Update Date | 2025-07-21 |