| NPI | 1790103828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENYOTA MARIA DOKES Lead Counselor 314-502-9682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 2012005837) |
| Enumeration Date | 2014-04-05 |
| Last Update Date | 2014-04-05 |