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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