| NPI | 1790823060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM J SKY President, Primary Member 314-647-4488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult | |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |