| NPI | 1497150601 |
|---|---|
| Doing Business As | NA |
| Entity Type | Organization |
| Authorized Contact | ALVA BOST Owner/ Director 314-383-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2014-10-30 |