OrganizationActive
I-Wave
NPI 1467005744 · Substance Abuse Rehabilitation Facility · Saint Louis, MO
Provider details
- NPI number
- 1467005744
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Tameria Spearman, Ceo/Director(380) 867-1900
Specialties & taxonomies
Residential Treatment Facilities
Ambulatory Health Care Facilities
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
- Skilled Nursing Facility314000000X
Nursing & Custodial Care Facilities
Practice location
10995 Chase Park Ln Apt C
Saint Louis, MO 63141-5787
Phone: (314) 441-9488
Fax: (844) 378-5562
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 410708
Saint Louis, MO 63141-0708
Registry dates
- Enumerated
- 2019-07-16
- Last updated
- 2019-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.