| NPI | 1396065181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA MILLER Provider 314-307-1011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0813X Clinical Nurse Specialist, Psych/Mental Health, Geropsychiatric (Licence: MO RN554563) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2010-06-03 |