| NPI | 1225447931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE JOHNSON Owner/Counselor 314-252-8683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 2012032155) |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2019-11-19 |