| NPI | 1407990062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY H DUNN Executive Director 314-516-6798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 103T00000X Psychologist |
| 104100000X Social Worker | |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-08-22 |