NPI | 1568776193 |
---|---|
Entity Type | Organization |
Authorized Contact | BENNETT DAVID FRANK Owner 314-628-9990 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 36944) |
Enumeration Date | 2010-08-06 |
Last Update Date | 2010-08-06 |