| NPI | 1104631134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN BERG BULIN Therapist Owner 314-626-4412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-02-07 |
| Last Update Date | 2025-06-10 |