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General NPI Number Information
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NPI Number | 1073637377
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Entity Type | Organization
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Legal Business Name | PLACES FOR PEOPLE, INC.
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 03/11/2022
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Provider Practice Location Address
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Address Line | 1001 LYNCH ST
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City | SAINT LOUIS
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State | MO
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Zip | 63118-1818
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Country | US
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Telephone | 314-535-5600
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Fax | 314-535-6037
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Provider Business Mailing Address
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Address Line | 1001 LYNCH ST
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City | SAINT LOUIS
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State | MO
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Zip | 63118-1818
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Country | US
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Telephone | 314-535-5600
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Fax | 314-535-6037
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. MARY FRANCES BRODERICK
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Credential | M.S.
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Telephone | 314-535-5600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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