| NPI | 1518330299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERMIT DALE HARRAH President/Executive Director 636-896-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2024-03-27 |