Organization · Type 2 NPI

State of Missouri Department of Mental Health

Psychiatric Hospital · St. Louis, MO

NPI number 1346630852 Active

Practice location

5300 Arsenal St
St. Louis, MO 63139-1463

Specialties and licenses

Taxonomy	Code	License
Psychiatric Hospital Primary	283Q00000X	2013040167 (MO)

Psychiatric Hospital: An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

23 other providers at this address

Other psychiatric hospital providers in St. Louis

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NPI record

NPI: 1346630852
Entity type: Organization (Type 2)
Issued: Feb 4, 2015
Last updated: Dec 1, 2020
Status: Active

Other names

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ST Louis Forensic Treatment Center · doing business as
St. Louis Psychiatric Rehabilitation Center · doing business as

Authorized official

Molly Jane Boeckmann
Director of Administrative Services
(573) 751-4055

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1346630852

State of Missouri Department of Mental Health's National Provider Identifier is 1346630852, issued on Feb 4, 2015. The primary taxonomy on file is Psychiatric Hospital (283Q00000X), and the practice location is in St. Louis, MO. The record was last updated on Dec 1, 2020.