1174669006 INDEPENDENCE CENTER
Mental Illness Community Based Residential Treatment Facility
Active
Basic Information
- Organization Name
- INDEPENDENCE CENTER
- Enumeration Date
- January 29, 2007
- Last Update
- June 27, 2022
- Authorized Official
- MRS. PATRICIA HOLMES
EXECTUVE DIRECTOR
Phone: (314) 880-5415
Practice Location
- Address
- 2443 PROUHET AVE
SAINT LOUIS, MO 631141946 - Phone
- (314) 890-7100
- Fax
- (314) 890-7133
Mailing Address
- Address
- 8675 OLIVE BLVD
SAINT LOUIS, MO 631322503 - Phone
- (314) 373-5187
- Fax
- (314) 367-5626
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 030777 | MO | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 267727600 | 05 | MO | N/A |
Frequently Asked Questions
What is INDEPENDENCE CENTER's NPI number?
INDEPENDENCE CENTER's NPI number is 1174669006.
Which doctor has NPI number 1174669006?
The doctor with NPI number 1174669006 is INDEPENDENCE CENTER.
What is INDEPENDENCE CENTER's practice address?
INDEPENDENCE CENTER's practice address is 2443 PROUHET AVE, SAINT LOUIS, MO, 631141946.
Which doctor practices at 2443 PROUHET AVE, SAINT LOUIS, MO, 631141946?
INDEPENDENCE CENTER practices at 2443 PROUHET AVE, SAINT LOUIS, MO, 631141946.
What is INDEPENDENCE CENTER's mailing address?
INDEPENDENCE CENTER's mailing address is 8675 OLIVE BLVD, SAINT LOUIS, MO, 631322503.
What is INDEPENDENCE CENTER's phone number?
INDEPENDENCE CENTER's phone number is (314) 890-7100.
Who is (314) 890-7100?
(314) 890-7100 is the phone number for INDEPENDENCE CENTER.
What is INDEPENDENCE CENTER's specialty?
INDEPENDENCE CENTER's specialty is Mental Illness Community Based Residential Treatment Facility.
What type of doctor is INDEPENDENCE CENTER?
INDEPENDENCE CENTER is a Mental Illness Community Based Residential Treatment Facility.
Is INDEPENDENCE CENTER a Community Based Residential Treatment Facility, Mental Illness?
Yes, INDEPENDENCE CENTER is a Community Based Residential Treatment Facility, Mental Illness.
Is INDEPENDENCE CENTER still practicing?
Yes, INDEPENDENCE CENTER is currently practicing.
Is INDEPENDENCE CENTER accepting new patients?
INDEPENDENCE CENTER may be accepting new patients. Please call their office at (314) 890-7100 to inquire about availability.
Is NPI 1174669006 still active?
Yes, NPI 1174669006 is currently active.
Where does INDEPENDENCE CENTER practice?
INDEPENDENCE CENTER practices in SAINT LOUIS, MO.