Organization
RELATIONAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORRINE DALE MD (CHIEF MEDICAL OFFICER)
(314) 216-0199
Entity
Organization
Contact information
Practice address
1408 FARMVIEW AVE, SAINT LOUIS, MO 63138-2515
(314) 216-0199
Mailing address
1624 CARLYLE AVE # 589, BELLEVILLE, IL 62221-4558
(618) 266-8488
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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