# MONITEAU COUNTY SENATE BILL 40 BOARD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730333931
- **Authorized official:** DR. JAMES CANTER (BOARD CHAIR)
- **Authorized official phone:** (573) 230-6426

## Contact information

- **Practice address:** 151 W WILKES ST, CALIFORNIA, MO 65018-1367
- **Practice address phone:** (573) 796-2101
- **Mailing address:** 1509 INDUSTRIAL PARK DR, CALIFORNIA, MO 65018-1883
- **Mailing address phone:** (573) 796-6131

## Taxonomy

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

## Other

- **Enumeration date:** 11/14/2008
- **Last updated:** 11/14/2008
