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Organization

STATE OF MISSOURI DEPARTMENT OF MENTAL HEALTH

Active
Other names
St. Louis Psychiatric Rehabilitation Center, St Louis Forensic Treatment Center
Organization subpart
No

Provider details

NPI number
Authorized official
MOLLY JANE BOECKMANN (DIRECTOR OF ADMINISTRATIVE SERVICES)
(573) 751-4055
Entity
Organization

Contact information

Practice address
5300 ARSENAL ST, SAINT LOUIS, MO 63139-1463
(314) 877-5790
Mailing address
5300 ARSENAL ST, SAINT LOUIS, MO 63139-1463

Taxonomy

Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
2013040167
MO

Other

Enumeration date
02/04/2015
Last updated
12/01/2020
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