| NPI | 1164964813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNEE PALMER Owner/Primary Therapist 314-516-3718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0000746) |
| 101YM0800X Counselor, Mental Health (Licence: CO NLC.0104164) | |
| Enumeration Date | 2016-11-11 |
| Last Update Date | 2022-06-17 |