| NPI | 1003080979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL ALLEN BRAUTIGAM Partner 636-724-2922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO SW001311) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2001031938) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |