# CINDY CHRISTAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CLEO
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407974389
- **Authorized official:** MS. CINDY KAY CHRISTAL (DIRECTOR)
- **Authorized official phone:** (573) 424-9275

## Contact information

- **Practice address:** 3100 MEXICO GRAVEL RD, COLUMBIA, MO 65202-2631
- **Practice address phone:** (573) 424-9275
- **Practice address fax:** (573) 474-3730
- **Mailing address:** 3100 MEXICO GRAVEL RD, COLUMBIA, MO 65202-2631
- **Mailing address phone:** (573) 424-9275
- **Mailing address fax:** (573) 474-3730

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 8000699 | MO | Yes |

## Other

- **Enumeration date:** 03/27/2007
- **Last updated:** 08/22/2020
