| NPI | 1205898574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MUNIZ General Counsel 314-828-1804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0050X Clinic/Center, Family Planning, Non-Surgical (Licence: MO 520524208) |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site (Licence: MO 2009004523) |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2023-06-12 |