Organization
SUPPORT INNOVATIONS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY KLEINLEIN (EXECUTIVE DIRECTOR)
(314) 205-0588
Entity
Organization
Contact information
Practice address
13422 CLAYTON RD, SUITE 214, SAINT LOUIS, MO 63131-1008
(314) 205-0588
Mailing address
13422 CLAYTON RD, SUITE 214, SAINT LOUIS, MO 63131-1008
(314) 205-0588
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/01/2013
Last updated
02/01/2013
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