| NPI | 1770743189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAREN ZINN Office Manager 314-692-8516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology Geriatric Psychiatry (Licence: MO 2004022302) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2020-09-25 |