| NPI | 1346620333 |
|---|---|
| Former Legal Business Name | YOUTH AND ADULT PROGRAM |
| Entity Type | Organization |
| Authorized Contact | NAIM MUHAMMAD Director 314-556-4443 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2018-10-08 |