Organization
BTRSTL LADUE LLC
Active
Other names
Birch Tree Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
DION BUFFALOW (EXECUTIVE DIRECTOR)
(505) 819-9727
Entity
Organization
Contact information
Practice address
10324 LADUE RD, SAINT LOUIS, MO 63141-8401
(314) 949-2080
Mailing address
10324 LADUE RD, SAINT LOUIS, MO 63141-8401
(314) 949-2080
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3692
FACILITY LICENSE
MO
Enumeration date
06/12/2023
Last updated
04/21/2026
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