NPI | 1972900918 |
---|---|
Entity Type | Organization |
Authorized Contact | ANETTA BOLDEN-ROBERTS Business Manager 314-413-3862 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO 1215) |
Enumeration Date | 2014-11-19 |
Last Update Date | 2014-11-19 |