| NPI | 1184115974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN VENDL MCGOVERN Associate Director 314-961-2255 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-05-29 |