NPI 1013283373

Mers/Missouri Goodwill Industries

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Saint Louis, MO

Practice location

Address: 1727 Locust St, Saint Louis, MO 63103-1703
Phone: (314) 982-0000
Fax: (314) 982-1588

Authorised official

Name: Lewis C Chartock
Title: Chief Executive Officer
Phone: (314) 982-8888

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Missouri →

Registry record

NPI: 1013283373
Entity type: Organization
NPI issued: 30 Mar 2012
Record last updated: 30 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.