| Maydai Trauma Focused Clinical Network And Research Center Llc | |
|
4601 State St Ste 220 East Saint Louis IL 62205-1359 | |
| (618) 741-9635 | |
| Not Available |
| Full Name | Maydai Trauma Focused Clinical Network And Research Center Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4601 State St Ste 220, East Saint Louis, Illinois |
| Authorized Official Name and Position | Kory L May (CEO/PRESIDENT) |
| Authorized Official Contact | 6187419635 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maydai Trauma Focused Clinical Network And Research Center Llc 3144 Virginia Pl East Saint Louis IL 62207-1759 Ph: (618) 741-9635 | Maydai Trauma Focused Clinical Network And Research Center Llc 4601 State St Ste 220 East Saint Louis IL 62205-1359 Ph: (618) 741-9635 |
| NPI Number | 1659047744 |
|---|---|
| Provider Enumeration Date | 08/18/2021 |
| Last Update Date | 10/29/2021 |
| Certification Date | 10/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659047744 | NPI | - | NPPES |
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