Independence Center

Adult Mental Health Clinic/Center · Saint Louis, MO

Organization Active NPI

NPI number 1760839260

Practice location

4245 Forest Park Ave
Saint Louis, MO 63108-2810
Phone
(314) 880-5415
Fax
(314) 880-5468

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NPI record

NPI
1760839260
Entity type
Organization (Type 2)
Enumeration date
May 16, 2016
Last updated
June 27, 2022
Certified
June 27, 2022
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Adult Mental Health Clinic/Center Primary 261QM0850X — —

Authorized official

Name
Patricia Holmes
Title
Executive Director
Phone
(314) 880-5415

About Independence Center

Independence Center is a healthcare organization registered in the NPI registry with the primary taxonomy Adult Mental Health Clinic/Center (code 261QM0850X). The practice location is 4245 Forest Park Ave, Saint Louis, MO 63108-2810. The NPI number 1760839260 was assigned on May 16, 2016 and the record was last updated on June 27, 2022.

The authorized official for this organization is Patricia Holmes, Executive Director.

Frequently asked questions

What is the NPI number of Independence Center?

The NPI number is 1760839260.

What is the phone number of Independence Center?

The phone number listed for the practice location is (314) 880-5415.

Where is Independence Center located?

4245 Forest Park Ave, Saint Louis, MO 63108-2810.

What is the taxonomy code for Independence Center?

The primary taxonomy code is 261QM0850X – Adult Mental Health Clinic/Center.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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