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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
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