| NPI | 1992254452 |
|---|---|
| Doing Business As | WILLOW TREE CENTER |
| Entity Type | Organization |
| Authorized Contact | KATIE WILSON Medical Director 636-695-2690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MO 2011040150) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2016-09-26 |