| NPI | 1689430415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADELYN ALEXANDRA SAUGET Owner 618-340-8141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-02-28 |
| Last Update Date | 2025-06-12 |