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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