| NPI | 1528186863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENIS IAN ALTMAN Medical Doctor 314-251-5866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |