| NPI | 1720478233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M. KNIGHT Clinical Director Of AO Cc 314-849-2120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL Il#180.009256) |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2015-02-04 |