| NPI | 1669485868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MARTIN-DAVIS President 314-206-3712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MO 267-7258) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2023-11-13 |