| NPI | 1841021979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY RUSSELL SCOTT CEO/President 636-584-5078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-08-10 |
| Last Update Date | 2025-10-09 |