| NPI | 1457617300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRAIN DENISE HALL Executive Director 314-435-4596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2012-04-04 |