OrganizationActive
Council for Extended Care
NPI 1285755579 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Saint Louis, MO
Provider details
- NPI number
- 1285755579
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Victoria Presnell, Executive Director(314) 781-4950
- License
- 12483150 (MO)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 12483150 (MO)
Residential Treatment Facilities
Practice location
5257 Shaw Ave
Suite 305
Saint Louis, MO 63110-3029
Phone: (314) 781-4950
Fax: (314) 771-8880
Approximate (ZIP-level) locationGet directions
Mailing address
5257 Shaw Ave
Saint Louis, MO 63110-3029
Registry dates
- Enumerated
- 2007-04-03
- 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.