| NPI | 1952585978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL L MARTIN President And Treasurer 314-739-6811 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: MO 5672-10331) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2007-12-27 |