| NPI | 1811435845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN L KANTOR Clinical Social Worker 314-276-5354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 001181) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |