| NPI | 1003112558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY BOATMAN Owner 314-753-5184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MO 11805) |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2022-10-10 |