Independence Center
NPI #1174668289 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1174668289
- Entity Type
- Organization
- Organization Name
- Independence Center
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Feb 20, 2007
- Last Updated
- Oct 20, 2025
Practice Location
- Address
- 4245 FOREST PARK AVE
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63108-2810
- Phone
- (314) 286-4545
Authorized Official
- Name
- MRS. PATRICIA HOLMES
- Title
- EXECUTIVE DIRECTOR
- Phone
- (314) 880-5415
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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