| NPI | 1346886488 |
|---|---|
| Doing Business As | SAME AS ABOVE |
| Doing Business As | CELEBRATION CITY COMMUNITY CENTER |
| Entity Type | Organization |
| Authorized Contact | PRIENTISS THOMAS Program Director 314-761-6132 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2019-11-25 |