| NPI | 1083088439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE MOSES District Manager 314-416-2901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: MO R3462) |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2015-11-23 |