Organization
COMMUNITY SERVICES OF MISSOURI INC.
Active
Organization
COMMUNITY SERVICES OF MISSOURI INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH LEE ALLEN JR. (SATOP ADMINISTRATOR)
(636) 441-9002
Entity
Organization
Contact information
Practice address
1175 CAVE SPRINGS ESTATE DR, SAINT PETERS, MO 63376-6529
(636) 441-9002
(636) 441-4834
Mailing address
1175 CAVE SPRINGS ESTATE DR, SAINT PETERS, MO 63376-6529
(636) 441-9002
(636) 441-4834
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174
SATOP
MO
01
—
249
FACILITY CODE
MO
01
—
346
REACT
MO
01
—
6889841
MISSOURI DMH VENDOR
MO
01
—
MO102035
ADA FEDERAL ID
MO
Enumeration date
04/22/2008
Last updated
04/22/2008
Update your record
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