| NPI | 1760924096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA A ESCHMANN Owner 314-566-4232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2004036752) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MO 2004036752) |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2016-11-18 |