CHILD CENTER - MARYGROVE – NPI #1104979053
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

CHILD CENTER - MARYGROVE is a residential treatment facility located in FLORISSANT, MO. NPPES has assigned the NPI number 1104979053 to CHILD CENTER - MARYGROVE on January 22, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHILD CENTER - MARYGROVE below.

NPI Profile for
CHILD CENTER - MARYGROVE

NPI Number
1104979053
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHILD CENTER - MARYGROVE
Primary location
2705 MULLANPHY LN
FLORISSANT, MO 63031-3727
Phone: (314) 837-1702 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
HELEN NEGRI
CEO
Phone: (314) 830-6222
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)
MO

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.