| NPI | 1447537071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN P CANALE President 636-244-3589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2025-05-22 |