| Child Center-marygrove | |
|
2705 Mullanphy Ln Florissant MO 63031-3727 | |
| (314) 837-1702 | |
| (314) 830-6263 |
| Full Name | Child Center-marygrove |
|---|---|
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
| Location | 2705 Mullanphy Ln, Florissant, Missouri |
| Authorized Official Name and Position | Michael P Meehan (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3148306222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child Center-marygrove 2705 Mullanphy Ln Florissant MO 63031-3727 Ph: (314) 837-1702 | Child Center-marygrove 2705 Mullanphy Ln Florissant MO 63031-3727 Ph: (314) 837-1702 |
| NPI Number | 1487718854 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 10/07/2022 |
| Certification Date | 10/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487718854 | NPI | - | NPPES |
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