NPI | 1467716928 |
---|---|
Entity Type | Organization |
Authorized Contact | KERRY DUNGER Executive Director Finance 314-364-3707 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Enumeration Date | 2012-06-29 |
Last Update Date | 2025-04-28 |