Organization
BTA BEHAVIORAL HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONARD E. BRADLEY MSE, CCDP-D, ICCDP-D (PROGRAM DIRECTOR)
(314) 574-4081
Entity
Organization
Contact information
Practice address
9167 W FLORISSANT AVE, SAINT LOUIS, MO 63136-1420
(314) 574-4081
(314) 524-3804
Mailing address
PO BOX 703, BRIDGETON, MO 63044-0703
(314) 574-4081
(314) 524-3804
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
MO
Other
Enumeration date
07/16/2010
Last updated
07/26/2010
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