| NPI | 1184055022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN DENISE HUBBARD CEO/Owner 314-741-9981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MO 302R00000X) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2013-12-03 |