| NPI | 1154674901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER VINCENT Otr/L 314-215-6932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283XC2000X Rehabilitation Hospital, Children |
| Additional Taxonomies | 283XC2000X Rehabilitation Hospital, Children |
| 283XC2000X Rehabilitation Hospital, Children | |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2022-07-21 |