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Organization
BOYS HOPE GIRLS HOPE OF ST. LOUIS, INC.
Active
Organization
BOYS HOPE GIRLS HOPE OF ST. LOUIS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CASSANDRA SISSOM MBA, LPC (EXECUTIVE DIRECTOR)
(314) 776-9406
Entity
Organization
Contact information
Practice address
8027 ELINOR AVENUE, RICHMOND HEIGHTS, MO 63117
(314) 776-9406
(314) 776-9406
Mailing address
8027 ELINOR AVENUE, RICHMOND HEIGHTS, MO 63117
(314) 776-9406
(314) 776-9406
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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