| NPI | 1891613691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER LIN Chief Executive Officer 314-925-0903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-07-08 |
| Last Update Date | 2026-07-08 |