Provident

NPI #1104924745 in Arnold, Missouri

Provider Information

NPI Number
1104924745
Entity Type
Organization
Organization Name
Provident
Primary Specialty
Voluntary or Charitable
Enumeration Date
Sep 20, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
3675 W OUTER RD STE 203
City
Arnold
ZIP Code
63010-5232
Phone
(314) 898-0102

Authorized Official

Name
MRS. MARIA M WATKINS, LPC
Title
COUNSELOR
Phone
(314) 898-0102

Specialties & Taxonomy Codes

Specialty
Voluntary or Charitable

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