Organization
COMMUNITY ALTERNATIVES MISSOURI, INC.
Active
Other names
Upward Bound
Organization subpart
No
Provider details
NPI number
Authorized official
MARY A PANK (PARALEGAL)
(502) 394-2100
Entity
Organization
Contact information
Practice address
909 BROADWAY STE 300, HANNIBAL, MO 63401-4249
(314) 965-1307
(314) 965-1352
Mailing address
805 N. WHITTINGOTN PKWY, SUITE 400, LOUISVILLE, KY 40222-3808
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
852589902
—
MO
Enumeration date
12/19/2006
Last updated
05/01/2019
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