Provider Demographics
NPI:1043813785
Name:COMMUNITY RESPONSE
Entity type:Organization
Organization Name:COMMUNITY RESPONSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGHEE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW, MPH
Authorized Official - Phone:314-402-2126
Mailing Address - Street 1:PO BOX 28961
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63132-0961
Mailing Address - Country:US
Mailing Address - Phone:314-402-2126
Mailing Address - Fax:314-685-8847
Practice Address - Street 1:5261 DELMAR BLVD STE 202
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63108-1013
Practice Address - Country:US
Practice Address - Phone:314-685-8834
Practice Address - Fax:314-685-8847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-17
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesGroup - Multi-Specialty