| NPI | 1710158704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA MARIE EISENBEIS Owner 314-484-6198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2005040010) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-03-18 |