| NPI | 1902463029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CORMIER Clinic Director 314-925-7525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2019-05-23 |