Organization
DEVELOPMENTAL SERVICES OF MISSOURI, INC
Active
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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