| NPI | 1700911369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUANITA WALLACE Family Therapist 314-644-5055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: MO 2002006418) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |