| NPI | 1316240120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA M VENDT President 636-675-4032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: 1-03-1453) |
| Additional Taxonomies | 251S00000X (Licence: 1-03-1453) |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2010-12-16 |