Individual provider · Type 1 NPI

Susie Dietz McGaughey, MA, PLPC

Emotionally Disturbed Childrens' Residential Treatment Facility · St. Louis, MO

NPI number 1780846451 Active

Practice location

330 N Gore Ave
St. Louis, MO 63119-1600

Specialties and licenses

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 1780846451

Susie Dietz McGaughey, MA, PLPC's National Provider Identifier is 1780846451, issued on Jun 25, 2008. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in St. Louis, MO. The record was last updated on Jun 25, 2008.