| NPI | 1326604919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCHELLE RENE GRAHAM CEO 314-605-0829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2019-05-19 |
| Last Update Date | 2019-05-19 |