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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