| NPI | 1760931653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR H QUADRI Owner 314-222-5882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 101435) |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2023-03-07 |