| NPI | 1760882997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON HEWITT Owner 314-497-8954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO 2013043963) |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2014-08-25 |