Organization
CENTREC CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN TILFORD (OFFICE MANAGER)
(314) 205-8068
Entity
Organization
Contact information
Practice address
1224 FERN RIDGE PKWY, SUITE 305, SAINT LOUIS, MO 63141-4404
(314) 205-8068
(314) 469-4507
Mailing address
1224 FERN RIDGE PKWY, SUITE 305, SAINT LOUIS, MO 63141-4404
(314) 205-8068
(314) 469-4507
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
3140-9189
MO
Other
Enumeration date
07/22/2006
Last updated
03/01/2013
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