| NPI | 1972074516 |
|---|---|
| Doing Business As | PREFERRED BEHAVIORAL HEALTH |
| Doing Business As | ITIC SUPPORT SERVICES |
| Entity Type | Organization |
| Authorized Contact | RYAN W MORRIS Register Agent 314-238-5260 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2019-08-27 |