Organization · Type 2 NPI

Child Center - Marygrove

Emotionally Disturbed Childrens' Residential Treatment Facility · Florissant, MO

NPI number 1104979053 Active

Practice location

2705 Mullanphy Ln
Florissant, MO 63031-3727

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XNone listed

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1104979053

Child Center - Marygrove's National Provider Identifier is 1104979053, issued on Jan 22, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Florissant, MO. The record was last updated on Aug 22, 2020.