Organization
SSM HEALTH CARE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANASTASIA NORVILLE MSW, LMSW (SOCIAL WORKER)
(309) 235-2763
Entity
Organization
Contact information
Practice address
300 1ST CAPITOL DR, SAINT CHARLES, MO 63301-2844
(636) 947-5040
Mailing address
300 1ST CAPITOL DR, SAINT CHARLES, MO 63301-2844
(636) 947-5040
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
—
—
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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