| NPI | 1851842074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN TORRILLO MASI Member/Manager 314-303-0790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2014034653) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |