# ST. VINCENT HOME FOR CHILDREN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578098489
- **Authorized official:** MISS COURTNEY MICHELLE GRAVES LPC (CHIEF CLINICAL OFFICER)
- **Authorized official phone:** (314) 261-6011

## Contact information

- **Practice address:** 7401 FLORISSANT RD, SAINT LOUIS, MO 63121-4835
- **Practice address phone:** (314) 261-6011
- **Practice address fax:** (314) 385-1467
- **Mailing address:** 7401 FLORISSANT RD, SAINT LOUIS, MO 63121-4835
- **Mailing address phone:** (314) 261-6011
- **Mailing address fax:** (314) 385-1467

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 2013006684 | MO | Yes |

## Other

- **Enumeration date:** 04/28/2017
- **Last updated:** 04/28/2017