| NPI | 1851912240 |
|---|---|
| Former Legal Business Name | PETER BOGART LPC, NCC, LLC |
| Entity Type | Organization |
| Authorized Contact | PETER BOGART Counselor 314-403-2611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2020-06-15 |