Organization
CATHOLIC COMPREHENSIVE SERVICES FOR CHILDREN, CHILD CENTER-MARYGROVE
Active
Other names
Child Center-Marygrove
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL P MEEHAN PH.D. (CHIEF EXECUTIVE OFFICER)
(314) 830-6222
Entity
Organization
Contact information
Practice address
2705 MULLANPHY LN, FLORISSANT, MO 63031-3727
(314) 837-1702
(314) 830-6263
Mailing address
2705 MULLANPHY LN, FLORISSANT, MO 63031-3727
(314) 837-1702
(314) 830-6263
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
000045669
MO
Other
Enumeration date
12/20/2006
Last updated
10/07/2022
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