| NPI | 1194258467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET MARY HORMBERG Co Owner/Co Founder 314-650-9288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: MO 2014027319) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2017-04-04 |