NPI 1467781393

Covenant House Missouri

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Saint Louis, MO

Practice location

Address: 2727 N Kingshighway Blvd, Saint Louis, MO 63113-1006
Phone: (314) 450-7667
Fax: (314) 454-0005
Mailing address: 2727 N. Kingshighway Boulevard, St. Louis, MO 63113

Authorised official

Name: Kristina R Kersting
Title: Clinical Coordinator
Phone: (314) 450-7667

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 2004036418 (MO)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Missouri →

Registry record

NPI: 1467781393
Entity type: Organization
NPI issued: 24 Dec 2009
Record last updated: 24 Dec 2009

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.