| NPI | 1972799914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA A IVES Partner 314-432-7927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 000112) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-09-24 |