THE OUTREACH CENTER OF CHRIST THE SAVIOR NPI 1376082529

NPI Information

NPI: 1376082529
Provider Name: THE OUTREACH CENTER OF CHRIST THE SAVIOR

Doing Business As: HAPPY SPIRIT DAY PROGRAM

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
3904 DELMAR BLVD
SAINT LOUIS, MO
ZIP 63108
Phone: (314) 371-9999
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THE OUTREACH CENTER OF CHRIST THE SAVIOR is an adult mental health clinic center in Saint Louis, MO. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. THE OUTREACH CENTER OF CHRIST THE SAVIOR NPI is 1376082529. The provider is registered as an organization entity type.
The provider Is Doing Business As Happy Spirit Day Program.

The provider's business location address is:

3904 DELMAR BLVD
SAINT LOUIS, MO
ZIP 63108-502
Phone: (314) 371-9999
Fax: (314) 371-0466

The provider's authorized official is Shelly Ann Gilmore .
The authorized official title is Minister/ Director and has the following contact phone number (314) 371-9999.

The enumeration date for this NPI number is 2/21/2017 and was last updated on 2/21/2017.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA0600X	Clinic/Center	Adult Day Care	1342	MISSOURI	No
2	261QM0850X	Clinic/Center	Adult Mental Health		MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	295721401	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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