| NPI | 1326573643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA DENISE PAYNE Director 314-899-0051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MO 1408) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2017-04-24 |