| NPI | 1871865881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADELUOLA G LIPEDE President/Medical Director 314-522-1888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MO R7F89) |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2012-02-07 |