| NPI | 1801032925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM STELZER Assistant Director Of Operations 636-939-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2007003913) |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2009-04-23 |