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NPI 1922308535 · Voluntary or Charitable Agency · Saint Louis, MO
Provider details
- NPI number
- 1922308535
- Entity type
- Organization
- Primary specialty
- Voluntary or Charitable AgencyAgencies
- Organization subpart
- No
- Authorized official
- India Gray, Executive Director(314) 367-1646
Specialties & taxonomies
Agencies
Practice location
5535 Delmar Blvd
Ste. 212
Saint Louis, MO 63112-3005
Phone: (314) 367-1646
Approximate (ZIP-level) locationGet directions
Mailing address
5535 Delmar Blvd
Saint Louis, MO 63112-3005
Registry dates
- Enumerated
- 2010-10-28
- Last updated
- 2010-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.