Organization
MCCB TRANSITIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY L BARFIELD (EXECUTIVE DIRECTOR)
(314) 371-1657
Entity
Organization
Contact information
Practice address
4110 SAINT LOUIS AVE, SAINT LOUIS, MO 63115-3218
(314) 371-1657
(314) 371-4333
Mailing address
4110 SAINT LOUIS AVE, SAINT LOUIS, MO 63115-3218
(314) 371-1657
(314) 371-4333
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
ERO19908010
MO
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
ERO19908010
MO
Other
Enumeration date
04/10/2008
Last updated
04/10/2008
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