Organization
CINDY CHRISTAL
Active
Other names
CLEO
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CINDY KAY CHRISTAL (DIRECTOR)
(573) 424-9275
Entity
Organization
Contact information
Practice address
3100 MEXICO GRAVEL RD, COLUMBIA, MO 65202-2631
(573) 424-9275
(573) 474-3730
Mailing address
3100 MEXICO GRAVEL RD, COLUMBIA, MO 65202-2631
(573) 424-9275
(573) 474-3730
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
8000699
MO
Other
Enumeration date
03/27/2007
Last updated
08/22/2020
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