Home Remedy St. Louis Llc | |
7710 Carondelet Ave Ste 204 Clayton MO 63105-3319 | |
(314) 439-1005 | |
Not Available |
Full Name | Home Remedy St. Louis Llc |
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Speciality | Community/behavioral Health |
Location | 7710 Carondelet Ave Ste 204, Clayton, Missouri |
Authorized Official Name and Position | David A Weinberg (CLINICAL DIRECTOR) |
Authorized Official Contact | 3144391005 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Home Remedy St. Louis Llc 7710 Carondelet Ave Ste 204 Clayton MO 63105-3319 Ph: (314) 439-1005 | Home Remedy St. Louis Llc 7710 Carondelet Ave Ste 204 Clayton MO 63105-3319 Ph: (314) 439-1005 |
NPI Number | 1346625167 |
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Provider Enumeration Date | 07/22/2015 |
Last Update Date | 07/22/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346625167 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 2014023114 (Missouri) | Primary |
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