Organization
WE WIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. INDIA GRAY (EXECUTIVE DIRECTOR)
(314) 367-1646
Entity
Organization
Contact information
Practice address
5535 DELMAR BLVD, STE. 212, SAINT LOUIS, MO 63112-3005
(314) 367-1646
Mailing address
5535 DELMAR BLVD, STE. 212, SAINT LOUIS, MO 63112-3005
(314) 367-1646
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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