NPI | 1962796565 |
---|---|
Entity Type | Organization |
Authorized Contact | TRISHA LEA TAYLOR Owner 314-406-5209 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: MO 2004022422) |
Enumeration Date | 2011-06-01 |
Last Update Date | 2015-01-14 |