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Organization
PSYCHIATRIC CENTER OF CREVE COEUR,LTD.
Active
Organization
PSYCHIATRIC CENTER OF CREVE COEUR,LTD.
Active
Other names
Psychiatric Center Ltd.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ROMAN BANTON M.D. (PRESIDENT)
(314) 692-7886
Entity
Organization
Contact information
Practice address
13100 MANCHESTER RD STE 150, SAINT LOUIS, MO 63131-1743
(314) 692-7886
(314) 692-7929
Mailing address
13100 MANCHESTER RD STE 150, SAINT LOUIS, MO 63131-1743
(314) 692-7886
(314) 692-7929
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
09076046
MO
Other
Enumeration date
12/29/2006
Last updated
06/29/2022
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