| NPI | 1730208984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN EDWARD O'BRIEN President 314-832-1077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MO 00331) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 001759) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |