Organization
MARTY ENTERPRISES, INC
Active
Organization
MARTY ENTERPRISES, INC
Active
Other names
Affiliated Court Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHELLEY S. RIECKE (DIRECTOR/SATOP ADMINISTRATOR)
(573) 499-3784
Entity
Organization
Contact information
Practice address
800 N PROVIDENCE RD, SUITE 104, COLUMBIA, MO 65203-4300
(573) 499-3784
(573) 499-3771
Mailing address
800 N PROVIDENCE RD, SUITE 104, COLUMBIA, MO 65203-4300
(573) 499-3784
(573) 499-3771
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
092
MO
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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