Organization · Type 2 NPI

ST Louis Organization for Changing Men

Voluntary or Charitable Agency · St. Louis, MO

NPI number 1194803114 Active

Practice location

4515 Olive St, Suite 200
St. Louis, MO 63108-1814

Call (314) 645-2075 Map

Specialties and licenses

TaxonomyCodeLicense
Voluntary or Charitable Agency Primary 251V00000XTAX ID#: 12463256 (MO)

Voluntary or Charitable Agency: Definition to come...

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About NPI 1194803114

ST Louis Organization for Changing Men's National Provider Identifier is 1194803114, issued on Nov 1, 2006. The primary taxonomy on file is Voluntary or Charitable Agency (251V00000X), and the practice location is in St. Louis, MO. The record was last updated on Aug 22, 2020.