Organization
BJC BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NICOLE DOCKINS M.ED (CASE MANAGER)
(314) 308-2508
Entity
Organization
Contact information
Practice address
3165 MCKELVEY RD STE 200, BRIDGETON, MO 63044-2550
(314) 206-3900
Mailing address
3165 MCKELVEY RD STE 200, BRIDGETON, MO 63044-2550
(314) 206-3900
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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