| NPI | 1730496605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY D SPARGO Executive Director 314-750-4077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO 2009013676) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2010-09-13 |