| NPI | 1578758439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH DENISE MITCHELL Director 314-289-9443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MO 837) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2009-10-14 |