| NPI | 1750788972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY DUNGER Executive Director Finance 314-364-3707 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2025-04-28 |