STATE OF MISSOURI is a residential treatment facility, intellectual and/or developmental disabilities in Saint Louis, MO. The provider is 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. STATE OF MISSOURI NPI is 1326372301. The provider is registered as an organization entity type.
The provider Is Doing Business As Slddtc - 2 Brady Circle.
The provider's business location address is:
11 BRADY CIR
2
SAINT LOUIS, MO
ZIP 63114-110
Phone: (314) 340-6701
Fax: (314) 340-6746
The provider's authorized official is Molly Jane Boeckmann .
The authorized official title is Director Of Administrative Services and has the following contact phone number (573) 751-4055.
The enumeration date for this NPI number is 9/24/2009 and was last updated on 10/27/2020.