Child Center of Our Lady

NPI #1679578413 in Saint Louis, Missouri

Provider Information

NPI Number
1679578413
Entity Type
Organization
Organization Name
Child Center of Our Lady
Primary Specialty
Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
Jun 17, 2005
Last Updated
Aug 22, 2020

Practice Location

Address
7900 NATURAL BRIDGE RD
ZIP Code
63121-4628
Phone
(314) 383-0200

Authorized Official

Name
MR. JIM BAUSCH, MSW
Title
EXECUTIVE DIRECTOR
Phone
(314) 383-0200

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Emotionally Disturbed Children

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