Organization
MARYGROVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN NEGRI LCSW (CEO)
(314) 830-6201
Entity
Organization
Contact information
Practice address
2705 MULLANPHY LN, FLORISSANT, MO 63031-3727
(314) 830-6201
(314) 830-6258
Mailing address
2705 MULLANPHY LN, FLORISSANT, MO 63031-3727
(314) 830-6201
(314) 830-6258
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
MO
Other
Enumeration date
12/06/2005
Last updated
07/21/2022
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