| NPI | 1457849317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA STEVENS Therapist 314-749-0716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2017041047) |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2018-07-20 |