Organization
ST. LOUIS ARC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN TISONE (CFO)
(314) 569-2211
Entity
Organization
Contact information
Practice address
1217 ASHFORD DR, SAINT LOUIS, MO 63137-1910
(314) 569-2211
Mailing address
1816 LACKLAND HILL PKWY, SUITE 200, SAINT LOUIS, MO 63146-3507
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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