Provider Demographics
NPI:1225740293
Name:CHILDREN'S PERMANENCY PARTNERSHIP
Entity Type:Organization
Organization Name:CHILDREN'S PERMANENCY PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE DIRECTOR OF Q&C
Authorized Official - Prefix:
Authorized Official - First Name:LEIGH ANN
Authorized Official - Middle Name:RENE
Authorized Official - Last Name:HERZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-236-5887
Mailing Address - Street 1:10024 OFFICE CENTER AVE
Mailing Address - Street 2:
Mailing Address - City:SAPPINGTON
Mailing Address - State:MO
Mailing Address - Zip Code:63128-1258
Mailing Address - Country:US
Mailing Address - Phone:314-733-5759
Mailing Address - Fax:
Practice Address - Street 1:10024 OFFICE CENTER AVE
Practice Address - Street 2:
Practice Address - City:SAPPINGTON
Practice Address - State:MO
Practice Address - Zip Code:63128-1258
Practice Address - Country:US
Practice Address - Phone:314-733-5759
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE CHILDREN'S HOME SOCIETY OF MISSOURI
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-12-21
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health