| NPI | 1356730345 |
|---|---|
| Other Name | CAQH |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA A SCHMITZ Provider Relation Specialist 314-387-5373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: TX 08078) |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2015-01-14 |