| NPI | 1700484599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERISHA LACRAE RUTLIN Founder/Clinical Director 314-625-6070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |