| NPI | 1043426471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RORY A RIES Licensed Professional Counselor 636-328-1909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MO 002211) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |