NPI 1578518239
State of Missouri
Practice location
- Address
- 5300 Arsenal St, Saint Louis, MO 63139-1463
- Phone
- (314) 877-6500
- Fax
- (314) 877-5982
- Mailing address
- 1706 E Elm St, Jefferson City, MO 65101-4130
Authorised official
- Name
- Molly Jane Boeckmann
- Title
- Director of Administrative Services
- Phone
- (573) 751-4055
Registered specialties
Psychiatric Hospital
Primary
Registry record
- NPI
- 1578518239
- Entity type
- Organization
- NPI issued
- 23 May 2006
- Record last updated
- 1 Dec 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.