NPI | 1245850056 |
---|---|
Entity Type | Organization |
Authorized Contact | ZHANNA KEETON Founder CEO 636-324-3388 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 101YP2500X Counselor, Professional |
251E00000X Home Health | |
Enumeration Date | 2020-04-22 |
Last Update Date | 2023-11-27 |