| NPI | 1215357116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM DARMSTAEDTER Chairman Of The Board 314-239-6748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2014-04-18 |