Whalio Doctors

NPI 1194803114

St Louis Organization for Changing Men

Organisation Voluntary or Charitable Agency Saint Louis, MO

Practice location

Address
4515 Olive St Suite 200, Saint Louis, MO 63108-1814
Phone
(314) 645-2075

Authorised official

Name
Barb Hiltz
Title
Executive Director
Phone
(314) 645-2075

Registered specialties

Voluntary or Charitable Agency Primary
Agencies Taxonomy 251V00000X Licence TAX ID#: 12463256 (MO)

Registry record

NPI
1194803114
Entity type
Organization
NPI issued
1 Nov 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.