| NPI | 1861917759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELONI HUDDLESTON President 314-957-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MO 1441) |
| Additional Taxonomies | 174200000X (Licence: MO 1441) |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2017-08-11 |