Independence Center
Independence Center is a Mental Illness Community Based Residential Treatment Facility in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2007.
- Licensed in
- MO
- In the registry since
- 2007
Practice location Address checks out
19 N Newstead AveSaint Louis, MO 63108-2260
Phone: (314) 286-4510
Fax: (314) 286-4565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Illness Community Based Residential Treatment Facility (primary) | Taxonomy 320800000X · Licence 033539 (MO) |
|---|
Record details
| NPI number | 1780720680 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Patricia Holmes — Executive Director · (314) 880-5415 |
| Other names | Newstead Place; Newstead Place |
| NPI enumerated | January 29, 2007 |
| Last updated in NPPES | June 27, 2022 |
| Certification date | June 27, 2022 |
| Mailing address | 4245 Forest Park Ave, Saint Louis, MO 63108-2810 |
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