NPI | 1760725717 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL DILLER Owner 314-602-7959 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2008002519) |
Enumeration Date | 2013-03-28 |
Last Update Date | 2013-03-28 |