| NPI | 1558963124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN KENDALL GILBERT Executive Director 314-598-7320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2020-11-10 |