Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

State of Missouri

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1326372301

State of Missouri is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2009.

Licensed in
MO
In the registry since
2009
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Practice location Address checks out

11 Brady Cir 2
Saint Louis, MO 63114-1110
Phone: (314) 340-6701
Fax: (314) 340-6746
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X · Licence E650S000001 (MO)

Record details

NPI number1326372301
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Molly Boeckmann — Director Of Administrative Services · (573) 751-4055
Other names Slddtc - 2 Brady Circle; Slddtc - 2 Brady Circle
NPI enumeratedSeptember 24, 2009
Last updated in NPPESOctober 27, 2020
Certification dateOctober 27, 2020
Mailing address11 Brady Cir, 2, Saint Louis, MO 63114-1110

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