| NPI | 1497824445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE M HITTSON Adminisrator 636-583-7312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: MO 12524361) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2018-07-10 |