Covenant House Missouri
NPI #1467781393 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1467781393
- Entity Type
- Organization
- Organization Name
- Covenant House Missouri
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Dec 24, 2009
- Last Updated
- Dec 24, 2009
Practice Location
- Address
- 2727 N KINGSHIGHWAY BLVD
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63113-1006
- Phone
- (314) 450-7667
Authorized Official
- Name
- MS. KRISTINA R KERSTING, MALPC
- Title
- CLINICAL COORDINATOR
- Phone
- (314) 450-7667
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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