| NPI | 1790112076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA BAHR Owner 636-931-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2000161099) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2010036840) |
| 101Y00000X Counselor (Licence: MO 2013033414) | |
| 101YP2500X Counselor, Professional (Licence: MO 2001011554) | |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2013-10-02 |