| NPI | 1659670735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE MARSHALL-MOORE Owner 314-645-1075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 002365) |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-03-15 |