| NPI | 1295279891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY MERCILLE Manager 314-736-5999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2019-07-26 |