| NPI | 1972877868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILFRED J KRENN CFO 314-535-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2012-02-24 |