| NPI | 1891567046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN BERGER Owner 314-532-6254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2023-10-23 |