Organization
UPLIFT SUPPPORTIVE LIVING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATONDRA RUSH (OWNER)
(314) 837-8067
Entity
Organization
Contact information
Practice address
5494 BROWN RD STE 107, HAZELWOOD, MO 63042-1100
(314) 276-5672
Mailing address
5494 BROWN RD STE 107, HAZELWOOD, MO 63042-1100
(314) 276-5672
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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