| NPI | 1154156776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY DAHMM Owner 314-766-7065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2024-09-04 |
| Last Update Date | 2024-09-16 |