NPI | 1568732550 |
---|---|
Doing Business As | POSITIVE FAMILY LIVING |
Entity Type | Organization |
Authorized Contact | ALICE G VLIETSTRA Owner 314-729-2855 |
Organization Subpart ? | No |
Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: MO PY01089) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MO 300075) |
Enumeration Date | 2012-01-06 |
Last Update Date | 2022-12-15 |