| NPI | 1679885677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN THOMAS TRIMBLE CEO/President 314-567-4994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MO 00654) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TN 5873946) |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2010-07-07 |