Provider Demographics
NPI:1316200181
Name:CENTER FOR SURVIVORS OF TORTURE AND WAR TRAUMA
Entity Type:Organization
Organization Name:CENTER FOR SURVIVORS OF TORTURE AND WAR TRAUMA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:BERG
Authorized Official - Last Name:BULIN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:314-541-4610
Mailing Address - Street 1:1077 S NEWSTEAD AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1651
Mailing Address - Country:US
Mailing Address - Phone:314-533-4114
Mailing Address - Fax:888-445-2127
Practice Address - Street 1:1077 S NEWSTEAD AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1651
Practice Address - Country:US
Practice Address - Phone:314-533-4114
Practice Address - Fax:888-445-2127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-18
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable