| NPI | 1780051862 |
|---|---|
| Doing Business As | THE COLLABORATIVE |
| Entity Type | Organization |
| Authorized Contact | BRENDA LORRAINE BRYANT Chief Executive Officer 636-477-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2010016700) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2015-08-25 |