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NPI 1104924745

OrganizationActive

Provident

NPI 1104924745 · Voluntary or Charitable Agency · Arnold, MO

Provider details

NPI number: 1104924745
Entity type: Organization
Primary specialty: Voluntary or Charitable AgencyAgencies
Authorized official: Maria Watkins, Counselor
License: 2002014019 (MO)

Practice location

3675 W Outer Rd Ste 203

Arnold, MO 63010-5232

Phone: (314) 898-0102

Fax: (636) 296-3249

More MO providers

Mailing address

3675 W Outer Rd Ste 203

Arnold, MO 63010-5232

Registry dates

Enumerated: 2006-09-20
Last updated: 2020-08-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provident — NPI 1104924745, Arnold, MO | NPI Central