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SLDDTC - 2 BRADY CIRCLE
NPI 1326372301
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Saint Louis, MO

Active since September 24, 2009
11 BRADY CIR, 2, SAINT LOUIS, MO 63114(314) 340-6701(314) 340-6746 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Slddtc - 2 Brady Circle NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SLDDTC - 2 BRADY CIRCLE (NPI 1326372301) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Saint Louis, Missouri and active in the NPI registry since September 2009. The organization lists Molly Jane Boeckmann, Director Of Administrative Services, as its authorized official.

NPPES Registry Identity

NPI1326372301
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameSTATE OF MISSOURI
Location Address11 BRADY CIR, 2Saint Louis, MO 63114-1110
Mailing Address11 Brady Cir, 2Saint Louis, MO 63114-1110 · (314) 340-6701 · Fax (314) 340-6746
Phone(314) 340-6701
Fax(314) 340-6746
Organization SubpartNo
Authorized OfficialMolly Jane BoeckmannDirector Of Administrative Services · (573) 751-4055
Enumeration DateSeptember 24, 2009
Last NPPES UpdateOctober 27, 2020
NPPES CertifiedOctober 27, 2020
✔ NPI 1326372301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License✔ Licensed in MO · E650S000001
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.
11 BRADY CIR, Saint Louis, MO 63114
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Other Names 1

Doing Business AsSlddtc - 2 Brady Circle

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STATE OF MISSOURI
Intermediate Care Facility, Intellectual Disabilities
11 BRADY CIR
OVERLAND, MO 63114
St. Louis County (314) 428-8470
STATE OF MISSOURI
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
11 BRADY CIR
SAINT LOUIS, MO 63114
St. Louis County (314) 877-1624

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is State Of Missouri's NPI number?

The NPI number for State Of Missouri is 1326372301. It was assigned to this organization in the NPPES registry on September 24, 2009. The provider is doing business as Slddtc - 2 Brady Circle.

Where is State Of Missouri located?

State Of Missouri is located at 11 Brady Cir 2, Saint Louis, MO 63114. The listed phone number is (314) 340-6701.

What is State Of Missouri's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for State Of Missouri was last updated on October 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.