Whalio Doctors

NPI 1861782898

N/A

Organisation Psychiatric Residential Treatment Facility Saint Louis, MO

Practice location

Address
1318 Pennsylvania Ave, Saint Louis, MO 63133-1036
Phone
(314) 401-1466
Mailing address
1318 Pennsylvania Ave, Pagedale, MO 63133-1036

Authorised official

Name
Gloria Jean Patrick
Title
Home Aid
Phone
(314) 401-1466

Registered specialties (3)

Psychiatric Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 323P00000X Licence 07397218 (MO)
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320600000X Licence 07397218 (MO)
Physical Disabilities Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320700000X Licence 07397218 (MO)

Registry record

NPI
1861782898
Entity type
Organization
NPI issued
11 Apr 2011
Record last updated
11 Apr 2011

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.