Slddtc - 2 Brady Circle

LBN: State Of Missouri
Slddtc - 2 Brady Circle is an health care organization with primary practice located at 11 Brady Cir 2, Saint Louis MO 63114-1110. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. State Of Missouri can be contacted via phone (314) 340-6701, or through Boeckmann, Molly Jane via phone (573) 751-4055.

Contact Information

Primary practice address
11 Brady Cir 2 Saint Louis MO 63114-1110
Phone: (314) 340-6701
Fax: (314) 340-6746
Website:
Map and Directions
Authorized official contact:
Name: Boeckmann, Molly Jane
Phone: (573) 751-4055

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X E650S000001 Missouri

Profile Details

NPI number 1326372301
LBN Legal business name State Of Missouri
DBA Doing business as Slddtc - 2 Brady Circle
Authorized official Boeckmann, Molly Jane
Entity Organization
Organization subpart 1 No
Enumeration date Sep 24th, 2009
Last updated Oct 27th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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