| NPI | 1245973379 |
|---|---|
| Other Name | COLA |
| Entity Type | Organization |
| Authorized Contact | CLAUDIA M JOHNSON Director 314-723-4652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2022-04-17 |
| Last Update Date | 2022-04-17 |