1487721379 STATE OF MISSOURI
Psychiatric Residential Treatment Facility
Active
Basic Information
- Organization Name
- STATE OF MISSOURI
- Enumeration Date
- November 29, 2006
- Last Update
- October 27, 2020
- Authorized Official
- MOLLY JANE BOECKMANN
DIRECTOR OF ADMINISTRATIVE SERVICES
Phone: (573) 751-4055
Practice Location
- Address
- 1901 PENNSYLVANIA AVE
SAINT LOUIS, MO 631331325 - Phone
- (314) 512-7609
- Fax
- (314) 512-7812
Mailing Address
- Address
- 1706 E ELM ST
JEFFERSON CITY, MO 651014130 - Phone
- (573) 751-3398
- Fax
- (573) 526-4560
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Psychiatric Residential Treatment Facility | 323P00000X | Psychiatric Residential Treatment Facility | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051774008 | 05 | MO | N/A |
Frequently Asked Questions
What is STATE OF MISSOURI's NPI number?
STATE OF MISSOURI's NPI number is 1487721379.
Which doctor has NPI number 1487721379?
The doctor with NPI number 1487721379 is STATE OF MISSOURI.
What is STATE OF MISSOURI's practice address?
STATE OF MISSOURI's practice address is 1901 PENNSYLVANIA AVE, SAINT LOUIS, MO, 631331325.
Which doctor practices at 1901 PENNSYLVANIA AVE, SAINT LOUIS, MO, 631331325?
STATE OF MISSOURI practices at 1901 PENNSYLVANIA AVE, SAINT LOUIS, MO, 631331325.
What is STATE OF MISSOURI's mailing address?
STATE OF MISSOURI's mailing address is 1706 E ELM ST, JEFFERSON CITY, MO, 651014130.
What is STATE OF MISSOURI's phone number?
STATE OF MISSOURI's phone number is (314) 512-7609.
Who is (314) 512-7609?
(314) 512-7609 is the phone number for STATE OF MISSOURI.
What is STATE OF MISSOURI's specialty?
STATE OF MISSOURI's specialty is Psychiatric Residential Treatment Facility.
What type of doctor is STATE OF MISSOURI?
STATE OF MISSOURI is a Psychiatric Residential Treatment Facility.
Is STATE OF MISSOURI a Psychiatric Residential Treatment Facility?
Yes, STATE OF MISSOURI is a Psychiatric Residential Treatment Facility.
Is STATE OF MISSOURI still practicing?
Yes, STATE OF MISSOURI is currently practicing.
Is STATE OF MISSOURI accepting new patients?
STATE OF MISSOURI may be accepting new patients. Please call their office at (314) 512-7609 to inquire about availability.
Is NPI 1487721379 still active?
Yes, NPI 1487721379 is currently active.
Where does STATE OF MISSOURI practice?
STATE OF MISSOURI practices in SAINT LOUIS, MO.