| NPI | 1992559751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATELDRIN DENISE WILLIAMS Mental Health Therapist 573-673-8434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2024-04-16 |