| NPI | 1760156913 |
|---|---|
| Other Name | SAINT LOUIS |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ETIS NORTHERN Director 314-308-9106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2021-08-02 |