| NPI | 1942719885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY LUEBBERING Owner 314-202-1415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MO 2005018314) |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2022-07-21 |