| NPI | 1487173282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES L HILTON Vice President 314-495-6412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2017-09-12 |