| NPI | 1427529965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ROSS WALCOTT LINSIN Clincial Psychologist 636-591-1974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2023-04-14 |