Organization
COMMUNITY BEHAVIOR HEALTH
Active
Parent organization
COMMUNITY BEHAVIOR HEALTH
Other names
COMMUNITY BEHAVIOR HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY BEHAVIOR HEALTH
Authorized official
MR. NAIM MUHAMMAD (DIRECTOR)
(314) 282-0804
Entity
Organization
Contact information
Practice address
1027 S VANDEVENTER AVE, SAINT LOUIS, MO 63110-3800
(314) 282-0804
Mailing address
1027 S VANDEVENTER AVE, SAINT LOUIS, MO 63110-3800
(314) 833-3424
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114354018
—
MO
05
—
1588094312
—
MO
Enumeration date
05/23/2017
Last updated
06/11/2019
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