Organization · Type 2 NPI

Community Supportive Services

Mental Illness Community Based Residential Treatment Facility · St. Louis, MO

NPI number 1235428095 Active

Practice location

3520 Hampton Ave
St. Louis, MO 63139-1918

Call (314) 454-1219 Map

Fax (314) 454-1382

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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About NPI 1235428095

Community Supportive Services's National Provider Identifier is 1235428095, issued on Apr 1, 2011. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in St. Louis, MO. The record was last updated on Apr 1, 2011.