| NPI | 1366115602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHAEL WOLTER Licensed Professional Counselor 314-690-5379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-07-30 |
| Last Update Date | 2021-07-30 |