Organization
CHILD CENTER - MARYGROVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN NEGRI (CEO)
(314) 830-6222
Entity
Organization
Contact information
Practice address
2705 MULLANPHY LN, FLORISSANT, MO 63031-3727
(314) 837-1702
Mailing address
2705 MULLANPHY LN, FLORISSANT, MO 63031-3727
(314) 837-1702
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
MO
Other
Enumeration date
01/22/2007
Last updated
08/22/2020
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