| NPI | 1669264198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY MENDES Business Owner/ Nurse Practitioner 636-402-9499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-05-20 |
| Last Update Date | 2025-05-20 |