Organization
THE BOYHOOD INITIATIVE OF MISSOURI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HUEY LEE HAWKINS JR. LCSW (EXECUTIVE DIRECTOR)
(314) 882-6840
Entity
Organization
Contact information
Practice address
8434 PAGE AVE, SAINT LOUIS, MO 63130-1046
(314) 882-6830
(314) 427-2303
Mailing address
8434 PAGE AVE, SAINT LOUIS, MO 63130-1046
(314) 882-6830
(618) 566-8186
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2002027247
MO
Other
Enumeration date
03/12/2008
Last updated
04/28/2020
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