| NPI | 1912511379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA SUTTON Owner/CEO 314-518-1188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174200000X Meals |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2026-04-28 |