Phillip Brown

NPI #1164045068 in Hazelwood, Missouri

Provider Information

NPI Number: 1164045068
Entity Type: Individual
Name: Phillip Brown
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 26, 2020
Last Updated: May 26, 2020

Practice Location

Address: 4954 HURSTBOROUGH CT
City: Hazelwood
State: Missouri
ZIP Code: 63042-1592
Phone: (314) 566-8301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Day Training, Developmentally Disabled Services	251C00000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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