MAKE OVER FOR LIFE OUTREACH NPI 1336304450

NPI Information

MAKE OVER FOR LIFE OUTREACH is a substance abuse rehabilitation facility in Saint Louis, MO. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. MAKE OVER FOR LIFE OUTREACH NPI is 1336304450. The provider is registered as an organization entity type.

The provider's business location address is:

5218 HIGHLAND AVE
SAINT LOUIS, MO
ZIP 63113-106
Phone: (314) 226-9309

The provider's authorized official is Shari Laneen Estes .
The authorized official title is Co Owner and has the following contact phone number (314) 226-9309.

The enumeration date for this NPI number is 7/29/2008 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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