| NPI | 1558536391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE ELLEN WEST Owner 314-849-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MO 5880-10064) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2012-09-10 |