| NPI | 1427504497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRANT WARMOUTH Co President 314-325-4931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine |
| Additional Taxonomies | 2084N0600X |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2016-12-22 |