| NPI | 1720958267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW DALE BAUERSACHS Founder, Executive Director 314-376-0069 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-11-10 |
| Last Update Date | 2025-11-10 |