| NPI | 1871689745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOJGAN MAKKI Owner 636-939-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2003031775) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |