| NPI | 1629141742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PATRICK BAHLINGER Director Of Finance And Operations 314-533-2229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |