| NPI | 1346221272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR BARINGOLTS President 314-872-8844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MO 0006871) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: MO 8001344) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2009-03-20 |