| NPI | 1710266184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI LARSON Finance Office 314-977-0227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: N/A) |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2011-08-16 |