| NPI | 1992130314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA KATHRYN HOFFSTOT Owner 618-741-8543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MO 2008006632) |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2013-09-04 |