Organization
WHOLESOME BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBITARI FREGENE (CEO)
(314) 397-7219
Entity
Organization
Contact information
Practice address
115 GOLDEN GATE PKWY, WENTZVILLE, MO 63385-7288
(314) 397-7219
Mailing address
115 GOLDEN GATE PKWY, WENTZVILLE, MO 63385-7288
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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