Organization Name: | ROSEBUD FAMILY CONSULTANTS |
NPI Number: | 1003080979 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAUL ALLEN BRAUTIGAM (PARTNER) |
Mailing Address: | 1360 S 5th St Suite 346 Saint Charles |
State: | MO US |
Postal Code: | 633012449 |
Phone Number: | 6367242922 |
Fax Number: | 6367242928 |
NPI Enumeration Date: | 04/22/2008 |
NPI Last Update Date: | 04/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2001031938 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |