Organization
MADISON COUNTY COUNCIL FOR DEVELOPMENTALLY DISABLED, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLYDE AVERY CLIFTON (EXECUTIVE DIRECTOR)
(573) 783-3770
Entity
Organization
Contact information
Practice address
610 S CHAMBER DR, FREDERICKTOWN, MO 63645-1742
(573) 783-3770
(573) 783-5051
Mailing address
PO BOX 325, FREDERICKTOWN, MO 63645-0325
(573) 756-8365
(573) 783-5051
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
MO
Other
Enumeration date
12/28/2007
Last updated
12/28/2007
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