| NPI | 1063965259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SREENATH NEKKALAPU Sole Member 314-387-3511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2016-07-25 |