NPI 1023357647

Support Innovations INC.

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

Practice location

Address: 13422 Clayton Rd Suite 214, Saint Louis, MO 63131-1008
Phone: (314) 205-0588

Authorised official

Name: Timothy Kleinlein
Title: Executive Director
Phone: (314) 205-0588

Registered specialties

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

Residential Treatment Facilities Taxonomy 320900000X

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Registry record

NPI: 1023357647
Entity type: Organization
NPI issued: 1 Feb 2013
Record last updated: 1 Feb 2013

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.