| NPI | 1730540196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET MARY RIMEL Practice Administrator 314-287-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: MO 108988) |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2019-10-02 |