| NPI | 1780069161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERIFA IQBAL Psychiatrist 314-799-8075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MO 2006023682) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-07-27 |