| NPI | 1972611010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZABETH L WERNER Owner 636-390-4422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2000172758) |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: MO 2000172758) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2008-07-08 |