| NPI | 1578637625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARRIE COPELAND Business Manager 636-939-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2008-12-19 |