| NPI | 1710010178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH S RAGSDALE Billing Manager 314-439-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care (Licence: MO 296-15) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |