| NPI | 1811207996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS ANTON WREN Licensed Professional Counselor 314-489-9517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2010-10-07 |