| NPI | 1174668289 |
|---|---|
| Former Legal Business Name | INDEPENDENCE CENTER |
| Doing Business As | INDEPENDENCE CENTER HEALTH GROUP |
| Entity Type | Organization |
| Authorized Contact | PATRICIA HOLMES Executive Director 314-880-5415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2022-06-27 |