| NPI | 1770736225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN DENISE STEPHENS General Partner 573-776-4778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2008005849) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |