Organization
STATE OF MISSOURI DEPARTMENT OF MENTAL HEALTH
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up