| NPI | 1942506043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA LYNN GIDDEN Director 314-566-5724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MO 923) |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2011-02-07 |