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 |