| 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 |