| NPI | 1538107222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA TRUJILLO Director Of Operations 314-503-6148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-08-22 |