Organization
PETER & PAUL COMMUNITY SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM CISROE PEARSON OTD (DIRECTOR)
(314) 338-8166
Entity
Organization
Contact information
Practice address
2612 WYOMING ST, SAINT LOUIS, MO 63118-2402
(314) 338-8177
(314) 621-9875
Mailing address
2612 WYOMING ST, SAINT LOUIS, MO 63118-2402
(314) 338-8177
(314) 621-9875
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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