| NPI | 1992256945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD WILLIS MITCHELL Vice President Of Client Services 314-845-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO 2011008097) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |