| NPI | 1235394453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY JEAN BUIE Executive Director 636-978-7785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 251C00000X | |
| 251S00000X Community/Behavioral Health | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2008-07-28 |