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 |