Organization
FAMILY SUPPORT NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT J. MARINO MSW (ASSOCIATE EXECUTIVE DIRECTOR)
(314) 644-5055
Entity
Organization
Contact information
Practice address
7514 BIG BEND BLVD, SAINT LOUIS, MO 63119-2104
(314) 644-5055
(314) 644-5057
Mailing address
7514 BIG BEND BLVD, SAINT LOUIS, MO 63119-2104
(314) 644-5055
(314) 644-5057
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/03/2006
Last updated
08/22/2020
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