| NPI | 1770749079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA NICHOLSON Missouri Branch Director 314-781-6363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 001523) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2008-08-06 |