Great Circle
Organization Active NPI Emotionally Disturbed Childrens' Residential Treatment Facility · Saint James, MO
NPI 1932833944 · NPPES record last updated Jul 14, 2022
Key facts
- NPI
- 1932833944
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
- Legal business name
- GREAT CIRCLE
- Practice address
- 13160 County Road 3610
Saint James, MO 65559-9151 - Phone
- (844) 424-3577
- Fax
- (314) 919-4876
- NPI assigned
- Jul 14, 2022
- Organization subpart
- No
Authorized official
- Name
- Paula Ricker Fleming, PHD, LPC
- Title
- President & Ceo
- Phone
- (573) 356-0022
Corporate family (same tax ID) 13
National Provider Directory
- Tax ID family
- Great Circle
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | Yes |
Addresses
Primary practice location
13160 County Road 3610
Saint James, MO 65559-9151
Mailing address
330 N Gore Ave
Saint Louis, MO 63119-1600
Phone (844) 424-3577
Other providers in Saint James, MO
- Franklin C Gica
- Rachelle L Gorrell
- Kara C Goss
- Marsha Kay Gray
- Great Circle
- Tiffany Gregory
- Norman Eugene Grover
- Lori Christine Hanson
- Gabriella Harms
- Stephanie J Hayes
All providers in Saint James, MO · Emotionally Disturbed Childrens' Residential Treatment Facility in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.