| NPI | 1386032985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA JENELLE MERLO Licensed Clinical Social Worker 314-894-9696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2015-01-05 |