| NPI | 1841944980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY J WOLD CEO 314-518-7967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QR1300X Clinic/Center, Rural Health | |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2022-02-08 |