| NPI | 1548678956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REMARGO YANCIE Counselor 314-301-9297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO 2011029087) |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2014-07-29 |