| NPI | 1083054787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA HOLMES Executive Director 314-880-5415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2022-06-27 |