| NPI | 1609140359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA VANTRICE GREER President 314-664-5155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2012-02-27 |