| NPI | 1023821303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISHA MICHELLE JONES Owner 314-328-9113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| 261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
| 261QG0250X Clinic/Center, Genetics | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 2083A0300X Preventive Medicine, Addiction Medicine | |
| 2083B0002X Preventive Medicine, Obesity Medicine | |
| 261QR1300X Clinic/Center, Rural Health | |
| 363LW0102X Nurse Practitioner, Women's Health | |
| Enumeration Date | 2025-01-30 |
| Last Update Date | 2025-06-26 |