| NPI | 1114384815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID E PEACO Sole Member 636-332-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 01175) |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2016-01-26 |