| NPI | 1043575525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARMISTHA BHALLA Owner 573-443-4431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2009003220) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2012-07-10 |