State of Missouri
NPI #1487721379 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1487721379
- Entity Type
- Organization
- Organization Name
- State of Missouri
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- STATE OF MISSOURI
- Primary Specialty
- Psychiatric Residential Treatment Facility
- Enumeration Date
- Nov 29, 2006
- Last Updated
- Oct 27, 2020
Practice Location
- Address
- 1901 PENNSYLVANIA AVE
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63133-1325
- Phone
- (314) 512-7609
Authorized Official
- Name
- MOLLY JANE BOECKMANN
- Title
- DIRECTOR OF ADMINISTRATIVE SERVICES
- Phone
- (573) 751-4055
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Residential Treatment Facility |
Similar Providers
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| K. F. Jammer Manor Inc. |  AI Deep Dive |
| N/a | AI Deep Dive |
| Missouri Residential Care LLC | AI Deep Dive |
| K. F. Jammer Manor Inc. | AI Deep Dive |
| Spofford | AI Deep Dive |
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