| NPI | 1346569324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAQUITA MUHAMMAD Member 314-657-7162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care (Licence: MO 886) |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health (Licence: MO 886) |
| Enumeration Date | 2010-05-31 |
| Last Update Date | 2010-05-31 |