| NPI | 1306335500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA RENEE CAREY Director 314-428-4020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MO 1500) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2022-04-07 |