| Hotel California By The Sea St. Louis, Llc | |
|
333 S Kirkwood Rd Ste 303 Kirkwood MO 63122-6161 | |
| (800) 762-6717 | |
| Not Available |
| Full Name | Hotel California By The Sea St. Louis, Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 333 S Kirkwood Rd Ste 303, Kirkwood, Missouri |
| Authorized Official Name and Position | Bryan Bixler (CHIEF PROGRAM OFFICER) |
| Authorized Official Contact | 8007626717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hotel California By The Sea St. Louis, Llc 333 S Kirkwood Rd Ste 303 Kirkwood MO 63122-6161 Ph: () - | Hotel California By The Sea St. Louis, Llc 333 S Kirkwood Rd Ste 303 Kirkwood MO 63122-6161 Ph: (800) 762-6717 |
| NPI Number | 1740813096 |
|---|---|
| Provider Enumeration Date | 02/14/2020 |
| Last Update Date | 05/04/2021 |
| Certification Date | 05/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740813096 | NPI | - | NPPES |
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