| NPI | 1689090219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL LONG Therapist/Owner 314-403-2113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO 2004003782) |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2014-03-06 |