QUEEN OF PEACE CENTER NPI 1629427042

NPI Information

NPI: 1629427042
Provider Name: QUEEN OF PEACE CENTER
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
325 N NEWSTEAD AVE
SAINT LOUIS, MO
ZIP 63108
Phone: (314) 531-0511
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QUEEN OF PEACE CENTER is a rehabilitation and substance use disorder clinic center in Saint Louis, MO. QUEEN OF PEACE CENTER NPI is 1629427042. The provider is registered as an organization entity type.

The provider's business location address is:

325 N NEWSTEAD AVE
SAINT LOUIS, MO
ZIP 63108-707
Phone: (314) 531-0511
Fax: (314) 652-2637

The provider's authorized official is Lara Pennington .
The authorized official title is Executive Director and has the following contact phone number (314) 531-0511.

The enumeration date for this NPI number is 6/7/2016 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health			No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	00	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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