| NPI | 1093302127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRAZ HYDER QALBANI Medical Director 314-749-8139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry |
| Enumeration Date | 2020-12-22 |
| Last Update Date | 2020-12-22 |