Organization · Type 2 NPI

Catholic Comprehensive Services for Children, Child Center-Marygrove

Emotionally Disturbed Childrens' Residential Treatment Facility · Florissant, MO

NPI number 1487718854 Active

Practice location

2705 Mullanphy Ln
Florissant, MO 63031-3727

Fax (314) 830-6263

Specialties and licenses

TaxonomyCodeLicense
Adolescent and Children Mental Health Clinic/Center 261QM0855XNone listed
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000X000045669 (MO)

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 1487718854

Catholic Comprehensive Services for Children, Child Center-Marygrove's National Provider Identifier is 1487718854, issued on Dec 20, 2006. 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 Oct 7, 2022.