| NPI | 1457245961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAILEY VANDERLEEST President / Owner 314-445-7732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-06-07 |
| Last Update Date | 2025-06-07 |