| NPI | 1588119507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHUNDRA DANIELLE WILLIAMS Clinical Social Worker 314-873-9723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MO 2016016569) |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based (Licence: MO 2016016569) |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2016-08-19 |