| NPI | 1730390907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANIS L. BEAN President & Reverend 636-697-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2000175979) |
| Enumeration Date | 2007-05-26 |
| Last Update Date | 2020-08-22 |