| NPI | 1194765685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY L EGHIGIAN Senior Director Managed Care 314-273-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2025-04-25 |