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Organization
CENTER FOR LIFE SOLUTIONS INC.
Active
Organization
CENTER FOR LIFE SOLUTIONS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL L GARDINE (EXECUTIVE DIRECTOR)
(314) 731-0100
Entity
Organization
Contact information
Practice address
9144 PERSHALL RD, HAZELWOOD, MO 63042-2821
(314) 731-0100
Mailing address
9144 PERSHALL RD, HAZELWOOD, MO 63042-2821
(314) 731-0100
(314) 731-0111
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
261QM2800X
MO
261QM2800X
Methadone Clinic
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
866203508
—
MO
Enumeration date
03/05/2007
Last updated
01/30/2020
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