| NPI | 1285932335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE CLARK Director.Therapist 314-607-2573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2011-03-13 |
| Last Update Date | 2023-01-11 |