| NPI | 1710909486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE M MCKEE CFO 314-454-6044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MO 324-22) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2021-03-16 |