| NPI | 1457518912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN O. FREEMAN President CEO 314-814-8511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2012-02-16 |