| NPI | 1376995365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD JOSEPH KILLEEN Owner 314-720-2710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2011008961) |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2016-07-01 |