| NPI | 1780053470 |
|---|---|
| Other Name | HCCC |
| Entity Type | Organization |
| Authorized Contact | CHRISTY MARIE HAWKINS Owner/Provider 636-775-2479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: MO F1007042) |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2015-09-23 |