| NPI | 1568133189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYRONE D FORD Owner/Managing Member 314-718-4503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2024-03-08 |