| NPI | 1144658535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERLINDA JOYCE ANDERSON Executive Director 314-494-9104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: SC 5635) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: SC 5635) |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2013-10-22 |