| NPI | 1457103103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORNELA CLAUDE IKA Nurse Practitioner 314-600-5221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2024-04-04 |
| Last Update Date | 2024-04-04 |