Organization
ST LOUIS BEHAVIORAL MEDICINE INSTITUTE
Active
Organization
ST LOUIS BEHAVIORAL MEDICINE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM HOPE (CFO)
(314) 534-0200
Entity
Organization
Contact information
Practice address
1139 MACKLIND AVE, ST LOUIS, MO 63110-1440
(314) 534-0200
(314) 534-7996
Mailing address
1139 MACKLIND AVE, ST LOUIS, MO 63110-1440
(314) 534-0200
(314) 534-7996
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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