NPI 1104002450

St. Louis Arc

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

Practice location

Address: 1816 Lackland Hill Pkwy 1651 Fontana, Saint Louis, MO 63146-3507
Phone: (314) 569-2211
Mailing address: 1816 Lackland Hill Pkwy Suite 200, Saint Louis, MO 63146-3507

Authorised official

Name: Kathleen Anne Tisone
Title: Vp of Operations/Cfo
Phone: (314) 569-2211

Registered specialties

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

Residential Treatment Facilities Taxonomy 320900000X Licence 103091 (MO)

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

Registry record

NPI: 1104002450
Entity type: Organization
NPI issued: 17 Jan 2008
Record last updated: 17 Jan 2008

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.