Whalio Doctors

NPI 1518121128

Blue Hayven Foundation

Organisation Child Intellectual and/or Developmental Disabilities Respite Care Saint Peters, MO

Practice location

Address
36 Julie Ln, Saint Peters, MO 63376-2147
Phone
(314) 440-8087
Fax
(314) 395-6121

Authorised official

Name
Nicole Micheele Brock-Williams
Title
Director
Phone
(314) 440-8087

Registered specialties (2)

Child Intellectual and/or Developmental Disabilities Respite Care Primary
Respite Care Facility Taxonomy 385HR2060X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320900000X

Registry record

NPI
1518121128
Entity type
Organization
NPI issued
12 Jul 2008
Record last updated
12 Jul 2008

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.