| NPI | 1861014706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE RAY WRIGLEY Director 314-779-8466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2020-05-14 |