| NPI | 1912773912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGIA ANN ELLIS Vice President Of Finance 314-535-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-11-30 |
| Last Update Date | 2023-11-30 |