| NPI | 1063625515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LEE MONTGOMERY Case Manager 314-531-1770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: MO 36874) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |