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Organization

BJC BEHAVIORAL HEALTH

Active
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Organization

BJC BEHAVIORAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS REBECCA LEA DAVIS MSW, LCSW (CLINICAL CASE MANAGER)
(314) 206-3494
Entity
Organization

Contact information

Practice address
343 S KIRKWOOD RD STE 2, SAINT LOUIS, MO 63122-6195
(314) 206-3400
Mailing address
343 S KIRKWOOD RD STE 2, SAINT LOUIS, MO 63122-6195
(314) 206-3400

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
2009007494
MO
251S00000X
Community/Behavioral Health Agency
Primary
2009007494
MO

Other

Enumeration date
10/09/2009
Last updated
10/09/2009
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