Annie Malone Children and Family Service Center
Annie Malone Children and Family Service Center is a Local Education Agency (LEA) in St. Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2009.
- Licensed in
- MO
- In the registry since
- 2009
- Specialties on file
- 4
Practice location Address checks out
5355 Page AveSt. Louis, MO 63112
Phone: (314) 531-0120
Fax: (314) 531-0125
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adolescent and Children Mental Health Clinic/Center (primary) | Taxonomy 261QM0855X |
|---|---|
| Local Education Agency (LEA) | Taxonomy 251300000X · Licence SEO200902 (MO) |
| Emotionally Disturbed Childrens' Residential Treatment Facility | Taxonomy 322D00000X · Licence 002136058 (MO) |
| Respite Care | Taxonomy 385H00000X · Licence 001305902 (MO) |
Record details
| NPI number | 1942449194 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Channel Thomas — Director Of Clinical And Outpatient · (314) 565-1110 |
| NPI enumerated | February 11, 2009 |
| Last updated in NPPES | February 5, 2020 |
| Certification date | February 5, 2020 |
| Mailing address | 2612 Annie Malone Drive, St. Louis, MO 63113 |
Other providers in St. Louis
-
St Louis Public Schools
3942 Flad Ave, St. Louis, MO 63110 · (314) 776-2626