| NPI | 1023842051 |
|---|---|
| Doing Business As | PHYSICIAN PSYCHIATRY |
| Doing Business As | PNWPPC |
| Entity Type | Organization |
| Authorized Contact | KATIE KIST Owner 573-721-6002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2024-08-30 |
| Last Update Date | 2024-08-30 |