NPI 1467900340

The Community

Organisation Point of Service Saint Louis, MO

Practice location

Address: 8936 Goodfellow Blvd, Saint Louis, MO 63147-1433
Phone: (314) 580-3029

Authorised official

Name: Marvin Shelton
Title: Ceo
Phone: (314) 580-3029

Registered specialties (2)

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 305S00000X (MO)

Other Point of Service providers in Missouri →

Rehabilitation Counselor

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225C00000X Licence 225C00000X (MO)

Other Rehabilitation Counselor providers in Missouri →

Registry record

NPI: 1467900340
Entity type: Organization
NPI issued: 20 Sep 2016
Record last updated: 20 Sep 2016

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.