Individual provider · Type 1 NPI
Susie Dietz McGaughey, MA, PLPC
Emotionally Disturbed Childrens' Residential Treatment Facility · St. Louis, MO
Practice location
330 N Gore Ave
St. Louis, MO 63119-1600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | 2008014718 (MO) |
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | 178.005558 (IL) |
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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Other emotionally disturbed childrens' residential treatment facility providers in St. Louis
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.