MERCY CLINIC CHILD AND ADOLESCENT PSYCHIATRY, LLC

SAINT LOUIS, MO
NPI1265562300
Entity TypeOrganization
Authorized ContactJOHN W. HUBERT
President
314-251-1700
Organization Subpart ?Yes
Primary Taxonomy2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
Additional Taxonomies101Y00000X Counselor
101YA0400X Counselor, Addiction (Substance Use Disorder)
101YM0800X Counselor, Mental Health
103TA0400X Psychologist, Addiction (Substance Use Disorder)
103TB0200X Psychologist, Cognitive & Behavioral
104100000X Social Worker
2084P0800X Psychiatry & Neurology, Psychiatry
Enumeration Date2007-03-07
Last Update Date2014-05-08
Business Address
MERCY CLINIC CHILD AND ADOLESCENT PSYCHIATRY, LLC
615 S NEW BALLAS RD EDGEWOOD CENTER
SAINT LOUIS, MO 63141-8221
Phone number: 314-251-6898
Mailing Address
MERCY CLINIC CHILD AND ADOLESCENT PSYCHIATRY, LLC
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141-8221
Phone number: 314-251-6898