Provider Demographics
NPI:1245880608
Name:STRENGTH-BASED THERAPEUTIC ORGANIZED EDUCATION
Entity type:Organization
Organization Name:STRENGTH-BASED THERAPEUTIC ORGANIZED EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEJA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-449-9420
Mailing Address - Street 1:PO BOX 300141
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY CITY
Mailing Address - State:MO
Mailing Address - Zip Code:63130-0441
Mailing Address - Country:US
Mailing Address - Phone:314-449-9420
Mailing Address - Fax:314-584-7035
Practice Address - Street 1:4055 EDMUNDSON RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63134-3947
Practice Address - Country:US
Practice Address - Phone:888-649-0409
Practice Address - Fax:314-584-7035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-18
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health