| NPI | 1730475138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAAID KHOJASTEH Owner 636-939-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 1041C0700X Social Worker Clinical | |
| 163WP0808X Registered Nurse Psychiatric/Mental Health | |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2011-06-23 |