| NPI | 1639432214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH LYNN GEGG Licensed Clinical Social Worker 314-566-4247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2012-06-19 |