EDGEWOOD CHILDRENS CENTER NPI 1659498996

NPI Information

EDGEWOOD CHILDRENS CENTER is a residential treatment facility emotionally disturbed children in Saint Louis, MO. The provider is 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. EDGEWOOD CHILDRENS CENTER NPI is 1659498996. The provider is registered as an organization entity type.

The provider's business location address is:

330 N GORE AVE
SAINT LOUIS, MO
ZIP 63119-600
Phone: (314) 968-2020
Fax: (314) 968-8308

The provider's authorized official is Latriece Kimbrough .
The authorized official title is Cfo and has the following contact phone number (314) 968-2060.

The enumeration date for this NPI number is 3/23/2007 and was last updated on 8/22/2020.

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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