| 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 |