NPI | 1487915195 |
---|---|
Entity Type | Organization |
Authorized Contact | ARTURO TACA Medical Director 314-649-7867 |
Organization Subpart ? | No |
Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
Enumeration Date | 2012-05-30 |
Last Update Date | 2012-05-30 |