NPI 1821043589

State of Missouri

Organisation Psychiatric Hospital Saint Louis, MO

Practice location

Address: 5351 Delmar Blvd, Saint Louis, MO 63112-3146
Phone: (314) 877-0500
Fax: (314) 877-0553
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

Hospitals Taxonomy 283Q00000X

Other Psychiatric Hospital providers in Missouri →

Registry record

NPI: 1821043589
Entity type: Organization
NPI issued: 23 May 2006
Record last updated: 27 Oct 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.