| NPI | 1689368474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIDOCHOMOYO ZVIRAWA Owner 636-675-9799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2023-12-22 |