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THE COMMUNITY COUNSELING & HOUSING SERVICES

Behavioral Health & Social Service Providers Psychologist Addiction (Substance Use Disorder)

Provider NPI: 1427557081

Organization Information:
Organization Name:  THE COMMUNITY COUNSELING & HOUSING SERVICES
Organization is not Subpart
Authorized Official:  MARVIN  SHELTON  CEO  314-580-3029

Practice Location:
4764 BEACON AVE  SAINT LOUIS, MO 63120-2208 US
Tel: 314-580-3029  Fax: --

Business Mailing Address:
4166 LINDELL BLVD APT 1B  SAINT LOUIS, MO 63108-2923 US
Tel: 314-580-3029  Fax: --

NPI Information:
NPI: 1427557081
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103TA0400XBehavioral Health & Social Service Providers
Psychologist
Addiction (Substance Use Disorder)
N251B00000XAgencies
Case Management
N253Z00000XAgencies
In Home Supportive Care
N273R00000XHospital Units
Psychiatric Unit
N276400000XHospital Units
Rehabilitation, Substance Use Disorder Unit
N3104A0625XNursing & Custodial Care Facilities
Assisted Living Facility
N3336M0003XSuppliers
Pharmacy
N3336S0011XSuppliers
Pharmacy
N343900000XTransportation Services
Non-emergency Medical Transport (VAN)
Y3104A0630XNursing & Custodial Care Facilities
Assisted Living Facility

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 3104A0630X

Type:

Classification:



Definition:



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