| NPI | 1427351402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONITA LYNNE WALDNER Owner/Licensed Therapist 573-885-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2010-12-13 |