| NPI | 1033424585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA LEE CASEY Counselor 636-484-2733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MO 2002029846) |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2010-08-09 |