| NPI | 1265956544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OKSANA BARAM President 314-991-6688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MO 2016032249) |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2022-07-21 |