| NPI | 1962274746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALARIE KORNBLET SHIFRIN Director 314-853-0051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 405300000X Prevention Professional |
| Additional Taxonomies | 104100000X Social Worker |
| 106E00000X Assistant Behavior Analyst | |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2023-10-25 |
| Last Update Date | 2024-03-18 |