NPI | 1821019936 |
---|---|
Entity Type | Organization |
Authorized Contact | COLLEEN TILFORD Office Manager 314-205-8068 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MO 3140-9189) |
Enumeration Date | 2006-07-22 |
Last Update Date | 2013-03-01 |