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 |