| Adapt Of Missouri, Llc | |
|
2301 Hampton Ave Saint Louis MO 63139-2908 | |
| (888) 657-3201 | |
| (314) 781-3295 |
| Full Name | Adapt Of Missouri, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2301 Hampton Ave, Saint Louis, Missouri |
| Authorized Official Name and Position | Teresa Porter (CREDENTIALING MANAGER) |
| Authorized Official Contact | 6364666452 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adapt Of Missouri, Llc 2301 Hampton Ave Saint Louis MO 63139-2908 Ph: (888) 657-3201 | Adapt Of Missouri, Llc 2301 Hampton Ave Saint Louis MO 63139-2908 Ph: (888) 657-3201 |
| NPI Number | 1770873002 |
|---|---|
| Provider Enumeration Date | 04/07/2011 |
| Last Update Date | 07/04/2023 |
| Certification Date | 07/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770873002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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