| NPI | 1164166377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STELLA WAMUYU WAWERU Owner 314-629-1828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2022-09-08 |