| NPI | 1104106400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUANN SPENCER-STEELE Counselor 314-409-2362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 001749) |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2023-10-16 |