| NPI | 1184811523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONNELL SUSANN PATTON Therapist 314-283-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2000170903) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2007-10-01 |