| NPI | 1659516607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN DENISE STEPHENS General Partner 573-776-4778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2008035710) |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2008-12-04 |