| NPI | 1427300573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD RIVERS Director 314-223-2077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2012-10-26 |