| NPI | 1780749457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KULSOOM FATIMA JUNAID Manager 314-922-2662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2001017151) |
| Enumeration Date | 2006-12-23 |
| Last Update Date | 2021-06-04 |