| NPI | 1922646728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINNYAH BRANDON Manager 314-371-7717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2023-11-27 |