| NPI | 1669752283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ALICE DAVIS Member 314-361-8832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MO 007613) |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2011-08-26 |