| NPI | 1932590510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYRSTAN LANGER Manager Of Accounting And Admin 314-479-9028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2015-02-18 |