| NPI | 1235755257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAANISH QALBANI Operations Director 314-518-3907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2020-06-25 |