| NPI | 1750783221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELODIE ANDREWS Owner 314-933-6587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2012028655) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2020-05-27 |