Organization · Type 2 NPI

Independence Center

Adult Mental Health Clinic/Center · St. Louis, MO

NPI number 1760839260 Active

Practice location

4245 Forest Park Ave
St. Louis, MO 63108-2810

Call (314) 880-5415 Map

Fax (314) 880-5468

Specialties and licenses

TaxonomyCodeLicense
Adult Mental Health Clinic/Center Primary 261QM0850XNone listed

Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

6 other providers at this address

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About NPI 1760839260

Independence Center's National Provider Identifier is 1760839260, issued on May 16, 2016. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in St. Louis, MO. The record was last updated on Jun 27, 2022.