| NPI | 1578045118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT RIFKIN Owner 314-997-5208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO r2f83) |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2018-08-30 |