| NPI | 1992833974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN S. MCCONAGHY Director Of Clinical Services 314-481-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |