institution
Covenant House Missouri
Emotionally Disturbed Childrens' Residential Treatment Facility in Saint Louis, Missouri
NPI 1467781393

Covenant House Missouri is a Emotionally Disturbed Childrens' Residential Treatment Facility based in St. Louis, MO. Covenant House Missouri practices in Saint Louis, MO. The NPI Number for Covenant House Missouri is 1467781393 and holds a License No. 2004036418 (Missouri).

The current practice location address for Covenant House Missouri is 2727 N Kingshighway Blvd, Saint Louis, MO and can be reached out via phone at 314-450-7667 and via fax at 314-454-0005.

Location: 2727 N Kingshighway Blvd, Saint Louis, MO, 63113
institution
Provider Profile Details
NPI Number
1467781393
Provider Name
Covenant House Missouri
Credential
Provider Entity Type
Organization
Address
2727 N Kingshighway Blvd, Saint Louis, MO, 63113
Phone Number
314-450-7667
Fax Number
314-454-0005
Provider Enumeration Date
12/24/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
499019503 05 MO
1457324485 01 MO NPI
institution
Provider Business Practice Location Address Details
Address
2727 N Kingshighway Blvd
City
State
Zip
63113-1006
Phone Number
314-450-7667
Fax Number
314-454-0005
person
Provider Business Mailing Address Details
Address
2727 N Kingshighway Blvd
City
State
Zip
63113-1006
Phone Number
314-450-7667
Fax Number
314-454-0005
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
License No.
2004036418 (Missouri)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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