Organization
CRAIG MCINTOSH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG MCINTOSH MSW, LCSW (OWNER)
(314) 223-6766
Entity
Organization
Contact information
Practice address
4561 S COMPTON AVE, SAINT LOUIS, MO 63111-1554
(314) 223-6766
(314) 664-2483
Mailing address
4561 S COMPTON AVE, SAINT LOUIS, MO 63111-1554
(314) 223-6766
(314) 664-2483
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2000152231
MO
Other
Enumeration date
04/10/2008
Last updated
04/10/2008
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