Individual
DONALD SCALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8543 JANE AVE, SAINT LOUIS, MO 63121-4309
(314) 392-3721
Mailing address
8543 JANE AVE, SAINT LOUIS, MO 63121-4309
(314) 392-3721
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
MO
Other
Enumeration date
12/24/2013
Last updated
12/24/2013
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