Organization
YOUNG IN SPIRIT ADULT DAYCARE, LLC
Active
Organization
YOUNG IN SPIRIT ADULT DAYCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA BLACK (OWNER)
(314) 645-2411
Entity
Organization
Contact information
Practice address
5457 HIGHLAND PARK DR, SAINT LOUIS, MO 63110-1313
(314) 645-2411
(314) 645-2007
Mailing address
5457 HIGHLAND PARK DR, SAINT LOUIS, MO 63110-1313
(314) 645-2411
(314) 645-2007
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
1081
MO
261QA0600X
Adult Day Care Clinic/Center
637
MO
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
ER019914017
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
296246002
—
MO
Enumeration date
03/14/2007
Last updated
03/31/2026
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