Organization
MATRIX PSYCHIATRIC HOME AND HEALTH CARE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMMIE MARIE AUER R.N. (OWNER)
(314) 954-5568
Entity
Organization
Contact information
Practice address
1423 VILLAS ESTATES DR, FENTON, MO 63026-3284
(314) 954-5568
Mailing address
1423 VILLAS ESTATES DR, FENTON, MO 63026-3284
(314) 954-5568
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
132832
MO
251K00000X
Public Health or Welfare Agency
132832
MO
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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