Organization · Type 2 NPI

Make Over for Life Outreach

Substance Abuse Rehabilitation Facility · St. Louis, MO

NPI number 1336304450 Active

Practice location

5218 Highland Ave
St. Louis, MO 63113-1106

Call (314) 226-9309 Map

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000XNone listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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About NPI 1336304450

Make Over for Life Outreach's National Provider Identifier is 1336304450, issued on Jul 29, 2008. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in St. Louis, MO. The record was last updated on Jul 21, 2022.