NPI | 1376033985 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY W HENKE Psychologist 314-346-8691 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2018-05-18 |
Last Update Date | 2018-05-18 |