| NPI | 1427231315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE MOORE Insurance Specialist 314-371-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 002589) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2007-12-13 |