| NPI | 1942270863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON BAKER Executive Director 314-645-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2019-12-02 |