| NPI | 1336447564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHEEN MANSOOR Owner 314-614-7794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2010015945) |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2011-04-22 |