Organization
DEVELOPMENTAL SERVICES OF MISSOURI, INC
Active
Parent organization
COLLABORATIVE INDUSTRIES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLLABORATIVE INDUSTRIES, INC
Authorized official
MR. BRIAN A KANTER (CHIEF OPERATING OFFICER)
(402) 202-5890
Entity
Organization
Contact information
Practice address
578 BLUE SAGE BLVD, LINCOLN, NE 68521-6628
(402) 202-5890
(402) 435-8801
Mailing address
578 BLUE SAGE BLVD, LINCOLN, NE 68521-6628
(402) 202-5890
(402) 435-8801
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
MO
Other
Enumeration date
10/29/2007
Last updated
10/29/2007
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