| NPI | 1679670376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONI D MCCLURE Executive Director 314-387-4664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MO 2000149482) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2020-08-22 |