| NPI | 1376062737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY BROCK HUSSEY Practice Owner 573-855-1007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 2013036409) |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2017-09-15 |