Child Center - Marygrove in Florissant - Residential Treatment Facility, Emotionally Disturbed Children
Child Center - Marygrove - NPI 1104979053
Child Center - Marygrove is a Residential Treatment Facility, Emotionally Disturbed Children in Florissant, Missouri. Child Center - Marygrove practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Child Center - Marygrove is 1104979053. The last update date is 2020-08-22.
Child Center - Marygrove's current location address is 2705 Mullanphy Ln, Florissant, Missouri. You can contact this provider via phone number 3148371702. The mailing address for Child Center - Marygrove is 2705 Mullanphy Ln, Florissant, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Child Center - Marygrove |
|---|---|
| Address | 2705 Mullanphy Ln, Florissant, Missouri |
| Phone Number | 3148371702 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Negri Helen |
| Telephone Number | 3148306222 |
NPI Number Detail
| NPI Number | 1104979053 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2705 Mullanphy Ln |
|---|---|
| City | Florissant |
| State | Missouri (MO) |
| Post Code | 630313727 |
| Phone Number | 3148371702 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
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Definition: 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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What is the unique 10-digit identification code assigned to Child Center - Marygrove by the Centers for Medicare & Medicaid Services?
The Child Center - Marygrove has been issued the NPI (National Provider Identifier) 1104979053, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Child Center - Marygrove is physically located?
The Child Center - Marygrove is physically situated at the following address: 2705 Mullanphy Ln, Florissant, MO, 630313727.
What is the Child Center - Marygrove's area of specialization and corresponding taxonomy classification?
The Child Center - Marygrove's specialty field is Residential Treatment Facility, Emotionally Disturbed Children, and it falls under the taxonomy code 322D00000X, which categorizes healthcare providers based on their specialties.
On what date did Child Center - Marygrove receive its 1104979053 assignment from the Centers for Medicare & Medicaid Services?
The Child Center - Marygrove was assigned its 1104979053 on 2007-01-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Child Center - Marygrove last refreshed?
The information related to the Child Center - Marygrove, including its address, specialty, and other relevant details, was last updated on 2020-08-22.