NPI | 1457071193 |
---|---|
Doing Business As | STL GATEWAY HEALTH CARE LLC |
Entity Type | Organization |
Authorized Contact | WILLIAM CLENDENIN President 314-799-2750 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2022-09-01 |
Last Update Date | 2022-09-01 |