| NPI | 1104924745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA M WATKINS Counselor 314-898-0102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: MO 2002014019) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |