| NPI | 1346903911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANIA RENE PHILLIPS Psychiatric Nurse Practitioner 314-707-5956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2021-11-09 |