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Organization

YOUNG MENS CHRISTIAN ASSOCIATION OF GREATER ST LOUIS

Active
Other names
YMCA
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DEBRA REDMOND B.S. (SENIOR PROGRAM DIRECTOR)
(314) 352-5087
Entity
Organization

Contact information

Practice address
1528 LOCUST ST, SAINT LOUIS, MO 63103-1816
(314) 436-1177
(314) 436-1901
Mailing address
7023 S BROADWAY, SAINT LOUIS, MO 63111-3119
(314) 352-5087
(314) 353-0439

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
EL1-0043-0313
MO

Other

Enumeration date
07/22/2013
Last updated
08/26/2013
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