| NPI | 1134695372 |
|---|---|
| Doing Business As | KATY TRAIL - MARSHALL SCHOOL |
| Entity Type | Organization |
| Authorized Contact | MICHAEL WALLER CEO 573-378-2349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2024-02-21 |