Organization
CATHOLIC FAMILY SERVICES
Active
Other names
Family Wellness Program
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY MARKS DSW (EXECUTIVE DIRECTOR)
(314) 544-3800
Entity
Organization
Contact information
Practice address
100 W MAIN ST, UNION, MO 63084-1363
(636) 583-1800
(636) 583-8355
Mailing address
100 W MAIN ST, UNION, MO 63084-1363
(636) 583-1800
(636) 583-8355
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SW003877
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11617478
CAQH
—
Enumeration date
04/10/2007
Last updated
08/22/2020
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