| NPI | 1841508827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA WOODS Program Coordinator 314-732-4220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle (Licence: MO L137178032) |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2010-09-23 |