NPI | 1710320643 |
---|---|
Former Legal Business Name | A PATTERN HEALTH CLINIC |
Entity Type | Organization |
Authorized Contact | ANNEX LUBERISSE President 660-886-9852 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MO 01272547) |
Enumeration Date | 2013-04-10 |
Last Update Date | 2015-06-01 |