| NPI | 1144804519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDDIE ROSS Director Of Operations 314-328-4348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2025-02-11 |