NPI | 1013925890 |
---|---|
Entity Type | Organization |
Authorized Contact | JANET VOSS CFO 314-814-8571 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: MO 500899596) |
Enumeration Date | 2006-08-04 |
Last Update Date | 2021-09-27 |