NPI 1336304450

Make Over for Life Outreach

Organisation Substance Abuse Rehabilitation Facility Saint Louis, MO

Practice location

Address: 5218 Highland Ave, Saint Louis, MO 63113-1106
Phone: (314) 226-9309

Authorised official

Name: Shari Laneen Estes
Title: Co Owner
Phone: (314) 226-9309

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Missouri →

Registry record

NPI: 1336304450
Entity type: Organization
NPI issued: 29 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.