| NPI | 1922352012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY KAYE WIEBERG Owner/Director 573-635-8299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MO 001621) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 002100) |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2012-10-29 |