| NPI | 1174818868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY KIEL President 314-821-4357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MO 00116) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2011-06-19 |