| NPI | 1669785036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | L.LOUIS ALBERT Executive Director 314-812-9356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO 101Y00000) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2010-07-14 |