| Edgewood Children's Hom'e | |
|
330 N Gore Ave Webster Groves MO 63119-1600 | |
| (314) 968-2060 | |
| Not Available |
| Full Name | Edgewood Children's Hom'e |
|---|---|
| Speciality | Case Management |
| Location | 330 N Gore Ave, Webster Groves, Missouri |
| Authorized Official Name and Position | Joanne P Herzberg (THERAPIST) |
| Authorized Official Contact | 3149682060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edgewood Children's Hom'e 330 N Gore Edgewood Children's Home Webster Groves MO 63119 Ph: () - | Edgewood Children's Hom'e 330 N Gore Ave Webster Groves MO 63119-1600 Ph: (314) 968-2060 |
| NPI Number | 1346555729 |
|---|---|
| Provider Enumeration Date | 08/10/2010 |
| Last Update Date | 08/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346555729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 000266 (Missouri) | Secondary |
| 251B00000X | Case Management | 000266 (Missouri) | Primary |
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