NPI | 1699133710 |
---|---|
Other Name | DR. ROBERT GORDON |
Entity Type | Organization |
Authorized Contact | ROBERT J GORDON Family/Marriage Therapist 636-368-6637 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: MO 300015) |
Enumeration Date | 2016-02-03 |
Last Update Date | 2016-02-03 |