| NPI | 1033462460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNE WALKER Executive Director 314-395-9758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MO LC1236901) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2012-10-23 |