NPI | 1487913265 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN P CORDRAY Owner/Clinical Director 314-252-8959 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2007025740) |
Enumeration Date | 2012-05-14 |
Last Update Date | 2012-05-14 |