| NPI | 1548308778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN MARIE HUTSON Director 314-837-3494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care (Licence: MO 626) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |