NPI 1104924745

Provident

Organisation Voluntary or Charitable Agency Arnold, MO

Practice location

Address: 3675 W Outer Rd STE 203, Arnold, MO 63010-5232
Phone: (314) 898-0102
Fax: (636) 296-3249

Authorised official

Name: Maria M Watkins
Title: Counselor
Phone: (314) 898-0102

Registered specialties

Voluntary or Charitable Agency Primary

Agencies Taxonomy 251V00000X Licence 2002014019 (MO)

Other Voluntary or Charitable providers in Missouri →

Registry record

NPI: 1104924745
Entity type: Organization
NPI issued: 20 Sep 2006
Record last updated: 22 Aug 2020

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.