| NPI | 1093172421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL GLASS Owner 314-330-0572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2012019340) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |