Organization
LEA-ED INC
Active
Other names
Sywan House
Organization subpart
No
Provider details
NPI number
Authorized official
ED DERING (VICE PRES/MGR)
(314) 892-2212
Entity
Organization
Contact information
Practice address
30 SHERMAN ROAD, LEMAY, MO 63125
(314) 892-2212
Mailing address
30 SHERMAN RD, LEMAY, MO 63125-4125
(314) 892-2212
(314) 892-7643
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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