INDEPENDENCE CENTER is a community based residential treatment facility mental illness in Saint Louis, MO. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. INDEPENDENCE CENTER NPI is 1780720680. The provider is registered as an organization entity type.
The provider Other Name Is Newstead Place.
The provider's business location address is:
19 N NEWSTEAD AVE
SAINT LOUIS, MO
ZIP 63108-260
Phone: (314) 286-4510
Fax: (314) 286-4565
The provider's authorized official is Patricia Holmes .
The authorized official title is Executive Director and has the following contact phone number (314) 880-5415.
The CLIA number assigned to this NPI record is 26D2013586 - other - residential care facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/29/2007 and was last updated on 6/27/2022.