| NPI | 1871842740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA R BOWLSON Director 314-831-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MO 1052) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2012-09-06 |