| NPI | 1265837306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE GRANICK Owner 314-413-1391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2010012064) |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2014-10-31 |