| NPI | 1578869889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD J KILLEEN Owner 314-720-2710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2009032622) |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2011-03-09 |