| NPI | 1194024638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE M WILMES Owner 660-853-1322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2003029038) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2010033597) |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2011-03-23 |