| NPI | 1366869703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERLINDA T EULALIA President 314-629-8107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: MO R1038) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2014-03-24 |