| NPI | 1740580315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PALMER CRUM Clinical Director 314-997-2296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MO 2007012895) |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2010-10-28 |