OrganizationActive
Kirwood Medication Assisted Treatments
NPI 1053953422 · Substance Use Disorder Rehabilitation Clinic/Center · Kirkwood, MO
Provider details
- NPI number
- 1053953422
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Dr Gary Hammen MD PHD LLC
- Organization subpart
- Yes
- Authorized official
- Gary Hammen, Member(314) 644-8310
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
111 Prospect Ave Ste 201
Kirkwood, MO 63122-6052
Phone: (314) 644-8310
Fax: (314) 293-6749
Approximate (ZIP-level) locationGet directions
Mailing address
111 Prospect Ave Ste 201
Kirkwood, MO 63122-6052
Other names (DBA / former)
- Doing business as
- Kirkwood Medication Assisted Treatments
Registry dates
- Enumerated
- 2019-10-17
- Last updated
- 2020-05-25
- Certified
- 2020-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.