Center For Hope Llc | |
425 Marshall Ave Saint Louis MO 63119-1833 | |
(314) 963-7711 | |
(314) 963-7703 |
Full Name | Center For Hope Llc |
---|---|
Speciality | Psychologist - Addiction (substance Use Disorder) |
Location | 425 Marshall Ave, Saint Louis, Missouri |
Authorized Official Name and Position | Gwin Stewaart (OWNER) |
Authorized Official Contact | 3147240503 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Center For Hope Llc 425 Marshall Ave Saint Louis MO 63119-1833 Ph: (314) 963-7711 | Center For Hope Llc 425 Marshall Ave Saint Louis MO 63119-1833 Ph: (314) 963-7711 |
NPI Number | 1376713933 |
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Provider Enumeration Date | 03/10/2008 |
Last Update Date | 03/10/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376713933 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TA0400X | Psychologist - Addiction (substance Use Disorder) | 2002011104 (Missouri) | Primary |
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