| NPI | 1861199770 |
|---|---|
| Other Name | HEALING WATERS OF ST LOUIS LLC |
| Entity Type | Organization |
| Authorized Contact | ADRIENNE HARRIS Owner 314-397-6197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2023-02-10 |
| Last Update Date | 2023-02-10 |