St Louis Arc
St Louis Arc is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Hazelwood, Missouri. Licensed in Missouri. Registered with an NPI since 2008.
- Licensed in
- MO
- In the registry since
- 2008
Practice location Address checks out
714 Carriage LnHazelwood, MO 63042-3452
Phone: (314) 817-2207
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X · Licence 103091 (MO) |
|---|
Record details
| NPI number | 1669658910 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kathleen Tisone — Vp Operations/Cfo · (314) 817-2207 |
| NPI enumerated | January 17, 2008 |
| Last updated in NPPES | June 12, 2012 |
| Mailing address | 1177 N Warson Rd, Saint Louis, MO 63132-1810 |
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