Healthcare Provider Details
I. General information
NPI: 1093236317
Provider Name (Legal Business Name): HI-TECH CHARITIES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/28/2017
Last Update Date: 07/21/2022
Certification Date: 09/25/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
23 N OAKS PLZ STE 275
SAINT LOUIS MO
63121-2994
US
IV. Provider business mailing address
DR. MARTIN LUTHER KING DR
SAINT LOUIS MO
63112-3516
US
V. Phone/Fax
- Phone: 314-389-5737
- Fax: 314-382-1660
- Phone: 314-922-7139
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
FRANCIS
ONUKWUE
Title or Position: PRESIDENT/CEO
Credential: PHD
Phone: 314-922-7139