Whalio Doctors

NPI 1245357599

Mbch Children and Family Ministries

Organisation Mental Illness Community Based Residential Treatment Facility Bridgeton, MO

Practice location

Address
11300 Saint Charles Rock Rd, Bridgeton, MO 63044-2721
Phone
(314) 739-6811
Fax
(314) 739-6325

Authorised official

Name
Russell Martin
Title
President and Treasurer
Phone
(314) 739-6811

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X Licence 00NA

Registry record

NPI
1245357599
Entity type
Organization
NPI issued
23 Mar 2007
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.