| NPI | 1679110498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL DUNCAN Co Owner 314-240-5109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2019-12-01 |
| Last Update Date | 2019-12-01 |