Organization
THE BOYHOOD INITIATIVE OF MISSOURI
Active
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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