| NPI | 1750345419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA SUE HUFFMAN VP Managed Care Services 636-549-2384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: LA 29570) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2020-08-22 |