| NPI | 1336330844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELERY ALVIN LOCKHART President 636-946-3722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MO 006743) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2008-04-20 |