NPI | 1689972879 |
---|---|
Entity Type | Organization |
Authorized Contact | ANITA F MCCORMACK Organizer 314-650-3281 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MO 2005031753) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MO 2005031753) |
Enumeration Date | 2011-03-11 |
Last Update Date | 2011-03-11 |