| NPI | 1225447931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE DIANE HANNEKEN Owner/CEO 314-252-8683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2012032155) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2025-08-05 |