Organization
CENTRAL MISSOURI SUBCONTRACTING ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY ALLEN STUART (OFFICE MANAGER)
(573) 442-6935
Entity
Organization
Contact information
Practice address
4040 S. BEAFIELD RD, COLUMBIA, MO 65201
(573) 442-6935
Mailing address
PO BOX 10147, COLUMBIA, MO 65205-4002
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
MO
Other
Enumeration date
08/01/2007
Last updated
08/01/2007
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