| NPI | 1710395611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY E NITZKE Director, Patient Financial Service 314-814-8515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2016-11-15 |