NPI | 1992587968 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW MORNINSTAR Owner 314-846-2100 |
Organization Subpart ? | No |
Primary Taxonomy | 202D00000X Integrative Medicine |
Additional Taxonomies | 208D00000X General Practice |
Enumeration Date | 2023-10-16 |
Last Update Date | 2025-08-14 |