| NPI | 1366692303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL MICHAEL PACKMAN President 314-727-1666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 29193) |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2008-09-26 |