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1559 Old S. River Road St.charles MO 63303 | |
(844) 224-2400 | |
(636) 959-5168 |
Full Name | |
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Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 1559 Old S. River Road, St.charles, Missouri |
Authorized Official Name and Position | Marilyn Nolan (CEO) |
Authorized Official Contact | 4178698911 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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118 N 2nd St Saint Charles MO 63301-2832 Ph: () - | 1559 Old S. River Road St.charles MO 63303 Ph: (844) 224-2400 |
NPI Number | 1437608312 |
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Provider Enumeration Date | 10/03/2016 |
Last Update Date | 10/03/2016 |
Identifier | Type | State | Issuer |
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1437608312 | NPI | - | NPPES |