institution
State Of Missouri
Psychiatric Hospital in Saint Louis, Missouri
NPI 1033289897

State Of Missouri is a Psychiatric Hospital based in Jefferson City, MO. State Of Missouri practices in Saint Louis, MO. The NPI Number for State Of Missouri is 1033289897 and holds a License No. EXEMPT (Missouri).

The current practice location address for State Of Missouri is 1901 Pennsylvania Ave, Saint Louis, MO and can be reached out via phone at 314-512-7800 and via fax at 314-512-7812.

Location: 1901 Pennsylvania Ave, Saint Louis, MO, 65102-0687
institution
Provider Profile Details
NPI Number
1033289897
Provider Name
State Of Missouri
Credential
Provider Entity Type
Organization
Address
1901 Pennsylvania Ave, Saint Louis, MO, 65102-0687
Phone Number
314-512-7800
Fax Number
314-512-7812
Provider Enumeration Date
11/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
021774005 05 MO
institution
Provider Business Practice Location Address Details
Address
1901 Pennsylvania Ave
City
State
Zip
63133-1325
Phone Number
314-512-7800
Fax Number
314-512-7812
person
Provider Business Mailing Address Details
Address
1901 Pennsylvania Ave
City
State
Zip
63133-1325
Phone Number
314-512-7800
Fax Number
314-512-7812
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
Psychiatric Hospital
Speciality
-
Taxonomy
License No.
EXEMPT (Missouri)
Definition
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.
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