| NPI | 1679946115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNTH MCCAIN Lead Counselor 314-956-0547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2015010117) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |