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MAKE OVER FOR LIFE OUTREACH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SHARI LANEEN ESTES (CO OWNER)
(314) 226-9309
Entity
Organization

Contact information

Practice address
5218 HIGHLAND AVE, SAINT LOUIS, MO 63113-1106
(314) 226-9309
Mailing address
5218 HIGHLAND AVE, SAINT LOUIS, MO 63113-1106
(314) 226-9309

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
MO

Other

Enumeration date
07/29/2008
Last updated
07/21/2022
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