Provider First Line Business Practice Location Address:
12303 DEPAUL DRIVE
Provider Second Line Business Practice Location Address:
ST. VINCENT'S BEHAVIORAL HEATLH SERVICES
Provider Business Practice Location Address City Name:
BRIDGETON
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63044
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
314-344-6560
Provider Business Practice Location Address Fax Number:
314-344-7736
Provider Enumeration Date:
05/09/2016