Organization
HUDSON BEHAVIORAL HEALTHCARE GROUPLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTIONETTE TRAVIS SOCIAL WORKER, BSW (CASE MANAGER/ OWNER)
(314) 448-1130
Entity
Organization
Contact information
Practice address
2300 S GRAND BLVD, SAINT LOUIS, MO 63104-1702
(314) 448-1130
Mailing address
2300 S GRAND BLVD, SAINT LOUIS, MO 63104-1702
(314) 448-1130
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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