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2027 Campus Dr Saint Charles MO 63301-1047 | |
| (636) 321-7600 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2027 Campus Dr, Saint Charles, Missouri |
| Authorized Official Name and Position | Rodney Williams (CFO) |
| Authorized Official Contact | 4073517080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2500 Maitland Center Pkwy Ste 250 Maitland FL 32751-4174 Ph: (407) 351-7080 | 2027 Campus Dr Saint Charles MO 63301-1047 Ph: (636) 321-7600 |
| NPI Number | 1538658380 |
|---|---|
| Provider Enumeration Date | 05/08/2018 |
| Last Update Date | 08/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538658380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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