| NPI | 1770227407 |
|---|---|
| Doing Business As | CLEMENTINE ST. LOUIS |
| Entity Type | Organization |
| Authorized Contact | JASON SCHULZ Chief Financial Officer 305-663-1876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2026-09-02 |