| NPI | 1366770604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA HEEBNER Associate CEO, COO 636-332-8306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2011-11-04 |