| St. Louis Center For Family Development, Llc | |
|
5461a Gravois Ave Saint Louis MO 63116-2340 | |
| (314) 353-1080 | |
| (314) 353-8733 |
| Full Name | St. Louis Center For Family Development, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5461a Gravois Ave, Saint Louis, Missouri |
| Authorized Official Name and Position | Nancy D. Spargo (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3147504077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Louis Center For Family Development, Llc 4236 Lindell Blvd Suite 200 Saint Louis MO 63108-2948 Ph: (314) 531-1155 | St. Louis Center For Family Development, Llc 5461a Gravois Ave Saint Louis MO 63116-2340 Ph: (314) 353-1080 |
| NPI Number | 1841430790 |
|---|---|
| Provider Enumeration Date | 03/04/2009 |
| Last Update Date | 06/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841430790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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