| NPI | 1144793456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENA CHAPMAN Therapist 314-922-6268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2019-01-09 |