Organization
SSM HEALTHCARE
Active
Organization
SSM HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL GEERLING LPC (MANAGER)
(636) 327-1164
Entity
Organization
Contact information
Practice address
500 MEDICAL DR, WENTZVILLE, MO 63385-3421
(636) 327-1000
Mailing address
PO BOX 1511, LAKE SHERWOOD, MO 63357-8511
(636) 398-0110
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
003579
MO
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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