| NPI | 1841547072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY ROYAL Program Director 314-362-2812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 281P00000X Chronic Disease Hospital (Licence: MO 5436783944) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2012-08-07 |