Provider Demographics
NPI:1184266314
Name:THE BRAIN INJURY FOUNDATION OF ST. LOUIS
Entity type:Organization
Organization Name:THE BRAIN INJURY FOUNDATION OF ST. LOUIS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CLIENT SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:CBIST
Authorized Official - Phone:314-645-7230
Mailing Address - Street 1:7850 MANCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63143-2710
Mailing Address - Country:US
Mailing Address - Phone:314-645-7230
Mailing Address - Fax:844-527-4893
Practice Address - Street 1:7850 MANCHESTER RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63143-2710
Practice Address - Country:US
Practice Address - Phone:314-645-7230
Practice Address - Fax:844-527-4893
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-09
Last Update Date:2019-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No251S00000XAgenciesCommunity/Behavioral Health
No251V00000XAgenciesVoluntary or Charitable