| NPI | 1760839260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA HOLMES Executive Director 314-880-5415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2022-06-27 |