| NPI | 1619142007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUKMINI CHILAKAMARRI Office Manager 314-849-0450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2020-09-24 |