| NPI | 1063394559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA OBIEBI Owner/CEO 314-358-3578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2025-07-24 |
| Last Update Date | 2025-07-24 |