| NPI | 1891881140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTURO CALVO TACA Manager 314-259-1531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2006024384) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2015-02-17 |