| NPI | 1851379127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYBETH GRAS Licensed Clinical Social Worker 314-629-9862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2001022248) |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2020-08-22 |