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Council For Extended Care Of Mentally Retarded Citizens
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Saint Louis, Missouri
NPI 1093836389

Council For Extended Care Of Mentally Retarded Citizens is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Saint Louis, MO. Council For Extended Care Of Mentally Retarded Citizens practices in Saint Louis, MO. The NPI Number for Council For Extended Care Of Mentally Retarded Citizens is 1093836389 and holds a License No. 12483150 (Missouri).

The current practice location address for Council For Extended Care Of Mentally Retarded Citizens is 5257 Shaw Ave, Saint Louis, MO and can be reached out via phone at 314-781-4950 and via fax at 314-771-8880.

Location: 5257 Shaw Ave, Saint Louis, MO, 63110-3029
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093836389
Provider Name
Council For Extended Care Of Mentally Retarded Citizens
Credential
Provider Entity Type
Organization
Address
5257 Shaw Ave, Saint Louis, MO, 63110-3029
Phone Number
314-781-4950
Fax Number
314-771-8880
Provider Enumeration Date
04/03/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5257 Shaw Ave
City
Saint Louis
State
Missouri
Zip
63110-3029
Phone Number
314-781-4950
Fax Number
314-771-8880
person
Provider Business Mailing Address Details
Address
5257 Shaw Ave
City
Saint Louis
State
Missouri
Zip
63110-3029
Phone Number
314-781-4950
Fax Number
314-771-8880
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
12483150 (Missouri)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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