Organization
PEACE HAVEN ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNE H MCCAULEY (EXECUTIVE DIRECTOR)
(314) 965-3833
Entity
Organization
Contact information
Practice address
12630 ROTT RD, SAINT LOUIS, MO 63127-1214
(314) 965-3833
(314) 965-5260
Mailing address
12630 ROTT RD, SAINT LOUIS, MO 63127-1214
(314) 965-3833
(314) 965-5260
Taxonomy
Speciality
Code
Description
License number
State
282J00000X
Religious Nonmedical Health Care Institution
Primary
030123
MO
Other
Enumeration date
04/17/2006
Last updated
06/01/2012
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