| NPI | 1407393960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN O FREEMAN CEO/President 314-814-8511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2023-09-13 |