| NPI | 1124459409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA RENEE CLABON Chief Executive Officer 314-367-5820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2018-09-26 |