Organization
PASTA'S PURPOSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRICIA LYNN HOGAN CRSS (OWNER)
(618) 558-5386
Entity
Organization
Contact information
Practice address
219 EASTGATE PLZ, EAST ALTON, IL 62024-1077
(618) 306-9173
Mailing address
219 EASTGATE PLZ, EAST ALTON, IL 62024-1077
(618) 306-9173
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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