Organization
ADAPT OF MISSOURI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA PORTER (CREDENTIALING MANAGER)
(636) 466-6452
Entity
Organization
Contact information
Practice address
2301 HAMPTON AVE, SAINT LOUIS, MO 63139-2908
(888) 657-3201
(314) 781-3295
Mailing address
2301 HAMPTON AVE, SAINT LOUIS, MO 63139-2908
(888) 657-3201
(314) 781-3295
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/07/2011
Last updated
07/04/2023
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