| NPI | 1538098488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORTNEY VARRONE Owner 314-680-6543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2026-05-18 |
| Last Update Date | 2026-05-18 |