| NPI | 1538609060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI J BEHRENS Executive Director 314-241-7437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 005209) |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-02 |