| NPI | 1154480176 |
|---|---|
| Doing Business As | FAMILY WELLNESS PROGRAM |
| Entity Type | Organization |
| Authorized Contact | JERRY L MARKS Executive Director 314-544-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2009-03-30 |