| 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 |