| NPI | 1083235709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA EDWARDS Director 314-226-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2023-03-22 |