| NPI | 1003938655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDY L. SKAGGS Therapist 636-288-6095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2002010862) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |