STATE OF MISSOURI is a community based residential treatment facility, intellectual and/or developmental disabilities in Saint Louis, MO. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. STATE OF MISSOURI NPI is 1942442702. The provider is registered as an organization entity type.
The provider Is Doing Business As St. Louis Developmental Disabilities Treatment Center Isl.
The provider's business location address is:
11 BRADY CIR
SAINT LOUIS, MO
ZIP 63114-110
Phone: (314) 877-1624
Fax: (314) 877-5666
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 3/25/2009 and was last updated on 8/28/2020.