State of Missouri
State of Missouri is a Psychiatric Residential Treatment Facility in Saint Louis, Missouri. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
1901 Pennsylvania AveSaint Louis, MO 63133-1325
Phone: (314) 512-7609
Fax: (314) 512-7812
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric Residential Treatment Facility (primary) | Taxonomy 323P00000X |
|---|
Record details
| NPI number | 1487721379 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | State of Missouri |
| Authorized official | Molly Boeckmann — Director Of Administrative Services · (573) 751-4055 |
| Other names | Hawthorn Children'S Psychiatric Hosptial; Hawthorn Children'S Psychiatric Hosptial |
| NPI enumerated | November 29, 2006 |
| Last updated in NPPES | October 27, 2020 |
| Certification date | October 27, 2020 |
| Mailing address | 1706 E Elm St, Jefferson City, MO 65101-4130 |
Other providers in Saint Louis
-
K. F. Jammer Manor Inc
5415 Thekla Ave, Saint Louis, MO 63120-2513 · (314) 385-8180
-
K. F. Jammer Manor Inc
1004 Pennsylvania Ave, Saint Louis, MO 63130-2325 · (314) 862-1662
-
Missouri Residential Care LLC
7700 Minnesota Ave, Saint Louis, MO 63111-3336 · (314) 449-1497