| NPI | 1073374989 |
|---|---|
| Other Name | EPIR SOURCE LLC |
| Entity Type | Organization |
| Authorized Contact | LATRECE MARLENE SMITH Owner/Operator 314-485-9241 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-01-18 |
| Last Update Date | 2024-01-18 |