| NPI | 1891518072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE MELIUS Licensed Clinical Social Worker 573-990-1867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-11-05 |
| Last Update Date | 2024-11-05 |