Healthcare Provider Details

I. General information

NPI: 1427403427
Provider Name (Legal Business Name): PLACES FOR PEOPLE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2016
Last Update Date: 04/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4130 LINDELL BLVD
SAINT LOUIS MO
63108-2914
US

IV. Provider business mailing address

4130 LINDELL BLVD
SAINT LOUIS MO
63108-2914
US

V. Phone/Fax

Practice location:
  • Phone: 314-535-5600
  • Fax: 314-615-2105
Mailing address:
  • Phone: 314-535-5600
  • Fax: 314-615-2105

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number StateMO

VIII. Authorized Official

Name: LAURA MCCALLISTER
Title or Position: VP OF FINANCE
Credential:
Phone: 314-535-5600