Provider Demographics
NPI:1659558054
Name:GENERAL ASSEMBLY OF THE CHRISTIAN CHURCH DISCIPLES OF CHRIST ST. LOUIS
Entity Type:Organization
Organization Name:GENERAL ASSEMBLY OF THE CHRISTIAN CHURCH DISCIPLES OF CHRIST ST. LOUIS
Other - Org Name:NBA ECHO EMERGENCY CHILDREN'S HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:STERLING
Authorized Official - Middle Name:C
Authorized Official - Last Name:ELLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-993-9000
Mailing Address - Street 1:3033 N EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63115-1632
Mailing Address - Country:US
Mailing Address - Phone:314-381-3100
Mailing Address - Fax:314-389-7963
Practice Address - Street 1:3033 N EUCLID AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63115-1632
Practice Address - Country:US
Practice Address - Phone:314-381-3100
Practice Address - Fax:314-389-7963
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NATIONAL BENEVOLENT ASSOCIATION OF THE CHRISITAN CHURCH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-28
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children