| NPI | 1811536436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE MARIE LANNING Mental Health Therapist 314-435-6393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2019-12-30 |