| NPI | 1578899852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA S AYUSO Manager 314-802-7126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MO LC0994486) |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2009-10-21 |