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2407 Petrova Ave Jennings MO 63136-3903 | |
| (314) 580-3029 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Assisted Living Facility - Assisted Living, Mental Illness |
| Location | 2407 Petrova Ave, Jennings, Missouri |
| Authorized Official Name and Position | Marvin Shelton (CEO) |
| Authorized Official Contact | 3145803029 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4166 Lindell Blvd Apt 1b Saint Louis MO 63108-2923 Ph: (314) 580-3029 | 2407 Petrova Ave Jennings MO 63136-3903 Ph: (314) 580-3029 |
| NPI Number | 1477052058 |
|---|---|
| Provider Enumeration Date | 02/08/2018 |
| Last Update Date | 02/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477052058 | NPI | - | NPPES |
Aries Therapy & Coaching Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8420 Carl Ave, Jennings, MO 63136 Phone: 314-753-2507 | |
Trinity Counseling Unified Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2519 Hord Ave, Jennings, MO 63136 Phone: 314-947-6665 |