| NPI | 1235397704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNE WALKER Owner 314-989-1002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MO 763) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2008-05-30 |