Provider Demographics
NPI:1720272990
Name:ASSOCIATES IN BEHAVIORAL HEALTH, LTD.
Entity Type:Organization
Organization Name:ASSOCIATES IN BEHAVIORAL HEALTH, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:NOWOTNY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-909-8484
Mailing Address - Street 1:10805 SUNSET OFFICE DR
Mailing Address - Street 2:SUITE 401
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63127-1017
Mailing Address - Country:US
Mailing Address - Phone:314-909-8484
Mailing Address - Fax:314-909-8485
Practice Address - Street 1:10805 SUNSET OFFICE DR
Practice Address - Street 2:SUITE 401
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63127-1017
Practice Address - Country:US
Practice Address - Phone:314-909-8484
Practice Address - Fax:314-909-8485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-30
Last Update Date:2007-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty