| NPI | 1578737490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM R. JAGGI Executive Director 314-621-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2012-07-06 |