Organization
CENTER FOR HOPE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWIN STEWAART PH.D., CASAC (OWNER)
(314) 724-0503
Entity
Organization
Contact information
Practice address
425 MARSHALL AVE, SAINT LOUIS, MO 63119-1833
(314) 963-7711
(314) 963-7703
Mailing address
425 MARSHALL AVE, SAINT LOUIS, MO 63119-1833
(314) 963-7711
(314) 963-7703
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
2002011104
MO
Other
Enumeration date
03/10/2008
Last updated
03/10/2008
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