| NPI | 1558621946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L SEBACHER Clinical Therapist 636-387-3851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 002515) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2012-05-21 |