St. Louis Arc

NPI #1669658910 in Hazelwood, Missouri

Provider Information

NPI Number
1669658910
Entity Type
Organization
Organization Name
St. Louis Arc
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Jan 17, 2008
Last Updated
Jun 12, 2012

Practice Location

Address
714 CARRIAGE LN
ZIP Code
63042-3452
Phone
(314) 817-2207

Authorized Official

Name
MRS. KATHLEEN ANNE TISONE
Title
VP OPERATIONS/CFO
Phone
(314) 817-2207

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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