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Organization
ST. VINCENT HOME FOR CHILDREN
Active
Organization
ST. VINCENT HOME FOR CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS COURTNEY MICHELLE GRAVES LPC (CHIEF CLINICAL OFFICER)
(314) 261-6011
Entity
Organization
Contact information
Practice address
7401 FLORISSANT RD, SAINT LOUIS, MO 63121-4835
(314) 261-6011
(314) 385-1467
Mailing address
7401 FLORISSANT RD, SAINT LOUIS, MO 63121-4835
(314) 261-6011
(314) 385-1467
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
2013006684
MO
Other
Enumeration date
04/28/2017
Last updated
04/28/2017
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