NPI | 1245741727 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID WEINBERG Owner/Clinical Director 314-439-1005 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2014023114) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2011036949) |
101YP2500X Counselor, Professional (Licence: MO 2013007093) | |
Enumeration Date | 2017-10-23 |
Last Update Date | 2017-10-23 |