| NPI | 1699121475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST ALEXANDER GRAYPEL Owner 314-267-1075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2015002634) |
| Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: MO 2015002634) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2024-01-17 |