| NPI | 1518586932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYNN S NUESSE Practice Manager 314-872-7792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2020-04-15 |