| NPI | 1760620272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RASHEEDAH FURQAN Professional Director 314-749-3826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2009-01-22 |