| NPI | 1255167433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY WOLD CEO 314-518-7967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC0700X Psychologist, Clinical | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2024-09-12 |