| NPI | 1811344328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMRAN CHISHTI Owner 314-576-3638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: MO 2000146081) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-05-16 |