| NPI | 1467651166 |
|---|---|
| Doing Business As | KIM A. KNUTSEN, LCSW |
| Entity Type | Organization |
| Authorized Contact | KIM ANN KNUTSEN Therapist 314-852-7474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: MO 004535) |
| Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: MO 004535) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2007-07-12 |