| NPI | 1558810895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHA BRADFORD Owner 314-313-1962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO 2015009694) |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2016-09-28 |