| NPI | 1063951465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN K NEWMAN Clinical Social Worker 314-378-0312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 002175) |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2017-02-17 |