| NPI | 1376417162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ANN ADAMS Sole Proprietor 314-610-8707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-10-03 |
| Last Update Date | 2025-12-16 |