| NPI | 1538484605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKITA R BONDS Owner 314-831-6375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: MO 2005026624) |
| Additional Taxonomies | 251E00000X Home Health (Licence: MO 2005026624) |
| 252Y00000X Early Intervention Provider Agency (Licence: MO 2005026624) | |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2012-04-02 |