| NPI | 1770662199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA A. HORRELL Executive Director 636-527-7615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2004029338) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: MO 2004029338) |
| 101YP2500X Counselor, Professional (Licence: IL 180-000873) | |
| 101YP2500X Counselor, Professional (Licence: IL 180-002690) | |
| Enumeration Date | 2006-11-05 |
| Last Update Date | 2021-10-19 |