| NPI | 1265939672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA ANN CARTER Owner 636-443-3704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2013045632) |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2018-04-11 |