| NPI | 1679594535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI ANNETTE BLACKSTUN Owner, Clinician 573-289-8144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2001024582) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2023-01-30 |