| NPI | 1265763569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ANDREW HOLDEN Member 314-821-7335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO LC0980816) |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2010-01-26 |