| NPI | 1487718854 |
|---|---|
| Doing Business As | CHILD CENTER-MARYGROVE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL P MEEHAN Chief Executive Officer 314-830-6222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MO 000045669) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2022-10-07 |