| NPI | 1881032522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLI MCCALLUM Manager 314-968-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX N5440) |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2013-06-04 |