| NPI | 1881059673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY ANNETTE DAVIES Receptionist 314-432-5544 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 284300000X Special Hospital (Licence: MO 11564) |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2015-12-21 |