Healthcare Provider Details

I. General information

NPI: 1932263423
Provider Name (Legal Business Name): COMMUNITY ALTERNATIVES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3738 CHOUTEAU AVE SUITE 200
SAINT LOUIS MO
63110-2546
US

IV. Provider business mailing address

3738 CHOUTEAU AVE SUITE 200
SAINT LOUIS MO
63110-2546
US

V. Phone/Fax

Practice location:
  • Phone: 314-772-8801
  • Fax: 314-772-7988
Mailing address:
  • Phone: 314-772-8801
  • Fax: 314-772-7988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. LAURA MCCALLISTER
Title or Position: CFO
Credential:
Phone: 314-772-8801