NPI 1659498996

Edgewood Childrens Center

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

Practice location

Address: 330 N Gore Ave, Saint Louis, MO 63119-1600
Phone: (314) 968-2020
Fax: (314) 968-8308

Authorised official

Name: Latriece Kimbrough
Title: Cfo
Phone: (314) 968-2060

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Registry record

NPI: 1659498996
Entity type: Organization
NPI issued: 23 Mar 2007
Record last updated: 22 Aug 2020

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.