| NPI | 1720609837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA WHEELER Clinical Social Worker 314-413-3390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-04-29 |