Whalio Doctors

NPI 1487718854

Catholic Comprehensive Services for Children, Child Center-Marygrove

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Florissant, MO

Practice location

Address
2705 Mullanphy Ln, Florissant, MO 63031-3727
Phone
(314) 837-1702
Fax
(314) 830-6263

Authorised official

Name
Michael P Meehan
Title
Chief Executive Officer
Phone
(314) 830-6222

Registered specialties (2)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X Licence 000045669 (MO)
Adolescent and Children Mental Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM0855X

Registry record

NPI
1487718854
Entity type
Organization
NPI issued
20 Dec 2006
Record last updated
7 Oct 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.