| NPI | 1730698895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUENTIN CHAMBERS Np 636-493-9008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2014017973) |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2021-02-25 |