| NPI | 1013188572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE D. BEHRMANN Owner 314-479-4106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2004008629) |
| Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: MO 2004008629) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2023-11-16 |