# CARESTL HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St Louis Comprehensive II
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215140561
- **Authorized official:** MRS. ANGELA RENEE CLABON (CEO)
- **Authorized official phone:** (314) 367-5820

## Contact information

- **Practice address:** 4411 N NEWSTEAD AVE, ST LOUIS, MO 63115-2534
- **Practice address phone:** (314) 381-9990
- **Practice address fax:** (314) 381-8993
- **Mailing address:** 5471 DR MARTIN LUTHER KING DR, ST LOUIS, MO 63112-4265
- **Mailing address phone:** (314) 367-5820
- **Mailing address fax:** (314) 367-7010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 520 | MO | Yes |

## Other

- **Enumeration date:** 05/07/2007
- **Last updated:** 02/06/2019