| NPI | 1487248365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSAMUDIAMEN OSA-EDOH Proprietor 314-482-2169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2021-02-22 |