| NPI | 1336381516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE HOLBROOKS Clinical Director 314-520-8859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 104100000X Social Worker | |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2012-12-17 |