| NPI | 1720897390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE KIPPENBERGER Clinical Therapist/Owner 618-506-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-01-07 |
| Last Update Date | 2025-01-07 |