institution
State Of Missouri
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Saint Louis, Missouri
NPI 1326372301

State Of Missouri is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Saint Louis, MO. State Of Missouri practices in Saint Louis, MO. The NPI Number for State Of Missouri is 1326372301 and holds a License No. E650S000001 (Missouri).

The current practice location address for State Of Missouri is 11 Brady Cir, Saint Louis, MO and can be reached out via phone at 314-340-6701 and via fax at 314-340-6746.

Location: 11 Brady Cir, Saint Louis, MO, 63114-1110
institution
Provider Profile Details
NPI Number
1326372301
Provider Name
State Of Missouri
Credential
Provider Entity Type
Organization
Address
11 Brady Cir, Saint Louis, MO, 63114-1110
Phone Number
314-340-6701
Fax Number
314-340-6746
Provider Enumeration Date
09/24/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11 Brady Cir
City
State
Zip
63114-1110
Phone Number
314-340-6701
Fax Number
314-340-6746
person
Provider Business Mailing Address Details
Address
11 Brady Cir
City
State
Zip
63114-1110
Phone Number
314-340-6701
Fax Number
314-340-6746
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
E650S000001 (Missouri)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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