| NPI | 1174356497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEIRDRE SHEAD Director 314-600-1005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2024-08-22 |
| Last Update Date | 2024-08-22 |