| NPI | 1902244825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON ROBINSON Owner 314-567-1958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: MO 100250) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2013-06-13 |