| NPI | 1679889174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF BRENNEMAN Owner 314-910-8608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2002001381) |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2021-03-03 |