| NPI | 1124367198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA TELLOR GRUNDY Speech Language Pathologist 314-452-4415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: MO 2008022570) |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2013-02-11 |