| NPI | 1275994360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY MCLAREN Owner 636-357-6416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MO 2013036982) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2013036982) |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2016-03-16 |