Organization
WESTEND CLINIC
Active
Organization
WESTEND CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WARDELL JOHN CARTER (PRESIDENT)
(314) 381-0560
Entity
Organization
Contact information
Practice address
5736 W FLORISSANT AVE, SAINT LOUIS, MO 63120-2457
(314) 381-0560
(314) 381-2747
Mailing address
5736 W FLORISSANT AVE, SAINT LOUIS, MO 63120-2457
(314) 381-0560
(314) 381-2747
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
17053498
MO
Other
Enumeration date
03/20/2007
Last updated
05/15/2008
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