Organization
EDGEWOOD CHILDRENS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATRIECE KIMBROUGH (CFO)
(314) 968-2060
Entity
Organization
Contact information
Practice address
330 N GORE AVE, SAINT LOUIS, MO 63119-1600
(314) 968-2020
(314) 968-8308
Mailing address
330 N GORE AVE, SAINT LOUIS, MO 63119-1600
(314) 968-2020
(314) 968-2060
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/23/2007
Last updated
08/22/2020
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