| NPI | 1508235680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY JONES Program Manager 314-438-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MO 1266) |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2015-09-18 |