| NPI | 1467900340 |
|---|---|
| Doing Business As | BTMB |
| Entity Type | Organization |
| Authorized Contact | MARVIN SHELTON CEO 314-580-3029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: MO 305S00000X) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: MO 225C00000X) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2016-09-20 |