| NPI | 1427002013 |
|---|---|
| Doing Business As | ST LOUIS FORENSIC TREATMENT CENTER |
| Doing Business As | ST. LOUIS PSYCHIATRIC REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | MOLLY JANE BOECKMANN Director Of Administrative Services 573-751-4055 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 208D00000X General Practice | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-12-01 |