Organization
JEWISH COMMUNITY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE L HAWKINS (COO)
(314) 442-3148
Entity
Organization
Contact information
Practice address
2 MILLSTONE CAMPUS DR, SAINT LOUIS, MO 63146-5776
(314) 432-5700
(314) 872-7189
Mailing address
2 MILLSTONE CAMPUS DR, SAINT LOUIS, MO 63146-5776
(314) 432-5700
(314) 872-7189
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
584
MO
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
1036
MO
Other
Enumeration date
04/18/2007
Last updated
02/12/2026
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