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Organization

KINGDOM HOUSE

Active
Other names
LifeWise StL
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SARAH M CALDERA WIMMER LCSW (DIRECTOR OF EMOTIONAL & PHYSICAL WE)
(314) 420-0400
Entity
Organization

Contact information

Practice address
1321 S 11TH ST, SAINT LOUIS, MO 63104-3599
(314) 421-0400
Mailing address
1321 S 11TH ST, SAINT LOUIS, MO 63104-3599
(314) 421-0400

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
05/20/2024
Last updated
05/20/2024
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