| NPI | 1891968848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG MCINTOSH Owner 314-223-6766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO 2000152231) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2008-04-10 |