Organization
PREFERRED ALTERNATIVES OF MISSOURI, INC
Active
Organization
PREFERRED ALTERNATIVES OF MISSOURI, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES RUSSELL WILSON JR. (PRESIDENT)
(910) 391-6996
Entity
Organization
Contact information
Practice address
1060 COUNTRY CLUB RD, ST. CHARLES, MO 63303-3373
(636) 940-6900
(636) 940-6940
Mailing address
P.O. BOX 696, DUNN, NC 28335
(910) 391-6996
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
09/24/2009
Last updated
08/09/2011
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