| NPI | 1568700276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY DAVID ZEHNLE Business Manager 314-435-6963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2013-01-30 |