| NPI | 1326426479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LADONNA MICHELLE TURNER Chief Executive Officer 314-853-4965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MO 2015007546) |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2022-04-08 |