Organization
CHARITON VALLEY ASSOCIATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY COMBS (EXECUTIVE DIRECTOR)
(660) 665-1111
Entity
Organization
Contact information
Practice address
1708 E LAHARPE ST, KIRKSVILLE, MO 63501-3981
(660) 665-1111
Mailing address
1905 S HIGH ST, KIRKSVILLE, MO 63501-4764
(660) 665-1111
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
02/27/2007
Last updated
03/06/2013
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