| NPI | 1558941286 |
|---|---|
| Doing Business As | ST. LOUIS INTEGRATIVE COUNSELING |
| Entity Type | Organization |
| Authorized Contact | NATHANIEL TYLER BRACK Owner 314-626-0962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2021-09-28 |