| NPI | 1578757274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBBIE L ROSSI Business Manager 314-966-6034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MO 12462802) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2007-09-05 |