| NPI | 1427221027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN O FREEMAN CEO 314-814-8511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: MO 1427221027) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2016-04-08 |