| NPI | 1629476957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHD AZFAR MALIK CEO 636-441-7300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2014-12-18 |