Council For Extended Care Of Mentally Retarded Citizens

NPI 1093836389 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1093836389
Enumeration Date 04/03/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name VICTORIA K VICTORIA
Position EXECUTIVE DIRECTOR
Phone (314) 781-4950
Fax (314) 771-8880
Practice Location
5257 SHAW AVE
SUITE 305
SAINT LOUIS MO, 63110-3029, US
Phone (314) 781-4950
Fax (314) 771-8880
Business Location
5257 SHAW AVE
SUITE 305
SAINT LOUIS MO, 63110-3029, US
Phone (314) 781-4950
Fax (314) 771-8880
Toxanomy
Taxonomy Code 320600000X
License State Missouri
License Number 12483150
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According to our database, Council For Extended Care Of Mentally Retarded Citizens NPI is 1093836389, taxonomy code is 320600000X and license number is 12483150, license state is located at Missouri. Council For Extended Care Of Mentally Retarded Citizens physically located at 5257 Shaw Ave, Saint Louis MO, 63110-3029. NPI Number 1033115704 has the healthcare provider type.

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1093836389 NPI number is provided on an as is basis without warranty of any kind. 1093836389 is maintained by the National Plan & Provider Enumeration System. The contents of Council For Extended Care Of Mentally Retarded Citizens are for informational purposes only.