| NPI | 1588829949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLASS PETTY President, 314-531-9946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO LC0020585) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2008-07-25 |