| NPI | 1427345131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAEEM AKHTAR QURESHI Member Manager 618-998-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2011-07-01 |