NPI 1326203472
Community Behavior Health
Practice location
- Address
- 1027 S Vandeventer Ave Fl 2, Saint Louis, MO 63110-3856
- Phone
- (314) 282-0804
- Mailing address
- 5815 Dr Martin Luther King Dr, Saint Louis, MO 63112-3712
Authorised official
- Name
- Naim Muhammad
- Title
- Co-Founder
- Phone
- (314) 282-0804
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1326203472
- Entity type
- Organization
- NPI issued
- 28 Jul 2008
- Record last updated
- 21 Jul 2022
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.