OrganizationActive
St Louis Organization for Changing Men
NPI 1194803114 · Voluntary or Charitable Agency · Saint Louis, MO
Provider details
- NPI number
- 1194803114
- Entity type
- Organization
- Primary specialty
- Voluntary or Charitable AgencyAgencies
- Organization subpart
- No
- Authorized official
- Barb Hiltz, Executive Director(314) 645-2075
- License
- TAX ID#: 12463256 (MO)
Specialties & taxonomies
Agencies
Practice location
4515 Olive St
Suite 200
Saint Louis, MO 63108-1814
Phone: (314) 645-2075
Approximate (ZIP-level) locationGet directions
Mailing address
4515 Olive St
Saint Louis, MO 63108-1814
Other names (DBA / former)
- Doing business as
- D/B/A Raven
Registry dates
- Enumerated
- 2006-11-01
- 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.