JACK L. CROUGHAN INC
Organization (NPI-2)
Active
Psychiatry & Neurology, Psychiatry
Provider Information
- NPI Number
1982928065- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1034 S BRENTWOOD BLVD SUITE 970, SAINT LOUIS, MO, 631171223
- Phone
- (314) 725-4004
- Fax
- (314) 725-4004
Specialties & Taxonomies
Psychiatry & Neurology, Addiction Medicine
License: MO #R5543
Psychiatry & Neurology, Psychiatry
Primary License: MO #R5543