| NPI | 1225274681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE USRY Manager Of Finance 636-925-2787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MO 010435) |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2009-01-06 |