Organization
ST. LOUIS BEHAVIORAL MEDICINE INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FILTON (SR VP CFO)
(610) 768-3300
Entity
Organization
Contact information
Practice address
1129 MACKLIND AVE, SAINT LOUIS, MO 63110-1440
(314) 534-0200
Mailing address
1129 MACKLIND AVE, SAINT LOUIS, MO 63110-1440
(314) 534-0200
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2006006594
MO
Other
Enumeration date
11/01/2006
Last updated
05/13/2015
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