| Advance Health Social Services Inc | |
|
2601 Whittier St Ste 3 Saint Louis MO 63113-2959 | |
| (314) 535-4040 | |
| (314) 567-1940 |
| Full Name | Advance Health Social Services Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2601 Whittier St Ste 3, Saint Louis, Missouri |
| Authorized Official Name and Position | Charles L Hilton (PRESIDENT) |
| Authorized Official Contact | 3144956412 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advance Health Social Services Inc 2133 Seven Pines Dr Saint Louis MO 63146-2215 Ph: (314) 495-6412 | Advance Health Social Services Inc 2601 Whittier St Ste 3 Saint Louis MO 63113-2959 Ph: (314) 535-4040 |
| NPI Number | 1720573504 |
|---|---|
| Provider Enumeration Date | 06/25/2018 |
| Last Update Date | 06/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720573504 | NPI | - | NPPES |
| 261QA0600X | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Missouri) | Primary |
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