| NPI | 1245402379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JENKINS Sole Proprietor 314-362-3862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 003137) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2008-03-28 |