FULL POTENTIAL RESIDENTIAL SERVICES, LLC
Residential Treatment Facilities at Page Ave, Saint Louis, MO

License number
Missouri 2006031224
Category
Residential Treatment Facilities
Type
Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
Owner
Name: MRS. DEMETRA EVON ROBERTS LIC. SOCIAL WORKER
Title: ADMINISTRATOR
Phone: (314) 839-9157
Address
Address 2
8208 Page Ave, Saint Louis, MO 63130
2335 Indiancup Dr, Florissant, MO 63033
National Provider ID: 1730337114
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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