| NPI | 1942945316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA CALCARA Co Owner/Officer 618-447-2420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-05-01 |
| Last Update Date | 2023-07-14 |