Organization
DEPRESSION CLINIC AT THE HEALTH CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KAYLA C BROOKS M.A, EMT-B, CTMS (DIRECTOR)
(636) 946-2244
Entity
Organization
Contact information
Practice address
2621 RAYMOND DR, SAINT CHARLES, MO 63301-4872
(636) 946-2244
(636) 946-6975
Mailing address
2621 RAYMOND DR, SAINT CHARLES, MO 63301-4872
(636) 946-2244
(636) 946-6975
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203861919
—
MO
Enumeration date
10/04/2022
Last updated
10/18/2022
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