Community Residential Supportive Living
Community Residential Supportive Living is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Saint Louis, Missouri. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
1026 Villa St.cyrSaint Louis, MO 63137
Phone: (314) 869-1977
Fax: (314) 869-1977
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1295907921 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Monica Gillespie — Direct Support Professional · (314) 869-1977 |
| NPI enumerated | April 2, 2008 |
| Last updated in NPPES | April 2, 2008 |
| Mailing address | 1026 Villa St.Cyr, Saint Louis, MO 63137 |
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