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 |