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Organization
BJC BEHAVIORAL HEALTH
Active
Organization
BJC BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA MARTIN-DAVIS (PRESIDENT)
(314) 206-3712
Entity
Organization
Contact information
Practice address
3309 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63139-1101
(314) 206-3700
(314) 206-3881
Mailing address
3309 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63139-1101
(314) 206-3700
(314) 206-3881
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
267-7258
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152758207
—
MO
05
—
152758215
—
MO
05
—
603805607
—
MO
01
—
7107625
MO DEPT OF MENTAL HEALTH
—
05
—
876175704
—
MO
05
—
876175712
—
MO
Enumeration date
08/15/2006
Last updated
11/13/2023
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