NPI | 1134604093 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHLEEN ANN WOLFF Participant Coordinator 314-427-9999 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
Enumeration Date | 2018-09-26 |
Last Update Date | 2018-09-26 |