| NPI | 1609204734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN HARVEY Owner 314-997-5208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MO 101008) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2017-01-04 |