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9733 St Charles Rock Rd Breckinridge Hills MO 63114-2625 | |
(314) 423-7030 | |
(314) 423-9511 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 9733 St Charles Rock Rd, Breckinridge Hills, Missouri |
Authorized Official Name and Position | Rodney Williams (VICE PRESIDENT) |
Authorized Official Contact | 4075815157 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2500 Maitland Center Parkway Suite 250 Maitland FL 32751-4174 Ph: (407) 351-7080 | 9733 St Charles Rock Rd Breckinridge Hills MO 63114-2625 Ph: (314) 423-7030 |
NPI Number | 1780890210 |
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Provider Enumeration Date | 05/14/2007 |
Last Update Date | 08/08/2019 |
Identifier | Type | State | Issuer |
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1780890210 | NPI | - | NPPES |