| NPI | 1497819981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOLLEEN SIMONS Owner 314-374-1620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2003000406) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2010-04-12 |