| NPI | 1942541578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEWART TILLETT Chief Financial Officer 314-367-7848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: MO 072100) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2013-03-06 |