| NPI | 1790970721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA HEEBNER Sen VP COO 636-332-8000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2008-05-08 |