| NPI | 1003933631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICE M FLANAGAN Practice Manager 636-244-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist Psychiatric/Mental Health, Adult (Licence: MO 107603) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-11-21 |