| NPI | 1417383977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYSHUN Y MANNING Co Owner 314-452-3535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MO LC1342625) |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2013-09-16 |