| NPI | 1831406255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY BERGER Director 314-932-1051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 224Z00000X Occupational Therapy Assistant | |
| 225A00000X Music Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2016-10-19 |