| NPI | 1093883928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANFORD SCOTT COOPER Executive Director 314-361-4720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 813) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-08-22 |