| NPI | 1194452946 |
|---|---|
| Doing Business As | EPIC |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH DERICKSON Therapist 573-587-1921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2022-08-03 |