| NPI | 1770227407 |
|---|---|
| Doing Business As | CLEMENTINE ST. LOUIS |
| Entity Type | Organization |
| Authorized Contact | MIKE BAGLEY Chief Financial Officer 305-663-1876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2022-04-27 |