| NPI | 1982724340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY DUNN Executive Director 314-516-6798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2001011555) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |