| NPI | 1285099143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIE OBERKROM Owner 314-578-7608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2014016172) |
| Enumeration Date | 2015-12-20 |
| Last Update Date | 2015-12-20 |