D/B/A Raven

LBN: St Louis Organization For Changing Men
D/B/A Raven is an health care organization with primary practice located at 4515 Olive St Suite 200, Saint Louis MO 63108-1814. The organization recently has only one registered license in Agencies / Voluntary or Charitable, which is considered as the primary health care specialty. St Louis Organization For Changing Men can be contacted via phone (314) 645-2075, or through Hiltz, Barb via phone (314) 645-2075.

Contact Information

Primary practice address
4515 Olive St Suite 200 Saint Louis MO 63108-1814
Phone: (314) 645-2075
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hiltz, Barb MSW
Phone: (314) 645-2075

Health care specialties

SpecialtyCodeLicense #State
Agencies / Voluntary or Charitable 251V00000X TAX ID#: 12463256 Missouri

Profile Details

NPI number 1194803114
LBN Legal business name St Louis Organization For Changing Men
DBA Doing business as D/B/A Raven
Authorized official Hiltz, Barb MSW
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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