| NPI | 1700049517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED W GASKIN President 314-205-6744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 34748) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-02 |