| NPI | 1407221005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUGUSTA A MATHIS Owner 314-942-1703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care (Licence: MO 1065) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2015-12-08 |