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Organization

JUBILEE COMMUNITY CHURCH

Active
Parent organization
-
Other names
Jubilee Ministries
Organization subpart
Yes

Provider details

NPI number
Legal business name
-
Authorized official
MRS. BRYNISHIA MARRETTA ROBINSON RN (CLINICAL DIRECTOR)
(636) 675-1230
Entity
Organization

Contact information

Practice address
4231 N GRAND BLVD, SAINT LOUIS, MO 63107-1807
(314) 533-5400
Mailing address
4231 N GRAND BLVD, SAINT LOUIS, MO 63107-1807
(314) 533-5400

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary

Other

Enumeration date
04/09/2025
Last updated
04/09/2025
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