NPI 1528791860
Great Circle
Practice location
- Address
- 4304 S Bearfield Rd, Columbia, MO 65201-9557
- Phone
- (844) 424-3577
- Fax
- (314) 919-4876
- Mailing address
- 330 N Gore Ave, Saint Louis, MO 63119-1600
Authorised official
- Name
- Paula Ricker Fleming
- Title
- President & Ceo
- Phone
- (573) 356-0022
Registered specialties
Psychiatric Residential Treatment Facility
Primary
Registry record
- NPI
- 1528791860
- Entity type
- Organization
- NPI issued
- 5 Jul 2022
- Record last updated
- 5 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.