Organization
ST. VINCENT HOME FOR CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS COURTNEY MICHELLE GRAVES LPC (CHIEF CLINICAL OFFICER)
(314) 261-6011
Entity
Organization
Contact information
Practice address
7401 FLORISSANT RD, SAINT LOUIS, MO 63121-4835
(314) 261-6011
(314) 385-1467
Mailing address
7401 FLORISSANT RD, SAINT LOUIS, MO 63121-4835
(314) 261-6011
(314) 385-1467
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
2013006684
MO
Other
Enumeration date
04/28/2017
Last updated
04/28/2017
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