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Organization

GOOD SHEPHERD CHILDREN AND FAMILY SERVICES

Active
Other names
Marian Hall Agencies
Organization subpart
No

Provider details

NPI number
Authorized official
MS. STACIE G NEWBERRY LCSW (DIRECTOR OF RESIDENTIAL SERVICES)
(314) 854-5737
Entity
Organization

Contact information

Practice address
1340 PARTRIDGE AVE, SAINT LOUIS, MO 63130-1943
(314) 854-5737
(314) 854-5750
Mailing address
1340 PARTRIDGE AVE, SAINT LOUIS, MO 63130-1943
(314) 854-5737
(314) 854-5750

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MO

Other

Enumeration date
11/28/2006
Last updated
04/11/2008
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