| NPI | 1093038531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH HENK Director 314-286-2080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MO 20001733451) |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2010-03-11 |